Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Boudreau, PHARMD

Individual provider Pharmacist · NPI 1558996884

Mark Boudreau, PHARMD is a Pharmacist in Bloomington, Minnesota. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

3913 W Old Shakopee Rd
Bloomington, MN 55437-2944
Phone: (952) 252-1062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 19470-40 (WI)

Record details

NPI number1558996884
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedMarch 6, 2020
Last updated in NPPESMarch 6, 2020
Certification dateMarch 6, 2020
Mailing address3913 W Old Shakopee Rd, Bloomington, MN 55437-2944

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