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

Michael John Bouthillier, PHARMD

Individual provider Ambulatory Care Pharmacist · NPI 1366212235

Michael John Bouthillier, PHARMD is an Ambulatory Care Pharmacist in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2024
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

25 Michigan St NE Ste 5100
Grand Rapids, MI 49503-2572
Phone: (616) 267-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Care Pharmacist (primary) Taxonomy 1835P2201X · Licence 5302024648 (MI)

Record details

NPI number1366212235
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedJanuary 3, 2024
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024

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