Bourque, Gwen

Bourque, Gwen is an individual health care provider with primary practice located at 1425 Massachusetts Ave , Arlington MA 02476-4103. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Bourque, Gwen can be contacted via phone (781) 646-3869.

Contact Information

Primary practice address
1425 Massachusetts Ave Arlington MA 02476-4103
Phone: (781) 646-3869
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH24577 Massachusetts

Profile Details

NPI number 1366725145
LBN Legal business name Bourque, Gwen
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2011
Last updated Sep 27th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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