Bret Boucher
Bret Boucher is a Pharmacist in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2013.
- Licensed in
- IL
- In the registry since
- 2013
Practice location Address checks out
901 W Lake AvePeoria, IL 61614-5968
Phone: (309) 682-2761
Fax: (309) 682-4267
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 051038938 (IL) |
|---|
Record details
| NPI number | 1285061887 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 27, 2013 |
| Last updated in NPPES | September 27, 2013 |
| Mailing address | 901 W Lake Ave, Peoria, IL 61614-5968 |
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