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

Mr. Bruce Boushon, RPH

Individual provider Pharmacist · NPI 1003858218

Mr. Bruce Boushon, RPH is a Pharmacist in Payson, Arizona. Works from 2 locations. Licensed in Arizona and Wisconsin.

Licensed in
AZ, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

142 E St Hwy 260
Payson, AZ 85541-4948
Phone: (928) 474-7039
Fax: (928) 474-3415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 825 W Fulton St, Waupaca, WI 54981-1471 — (715) 258-9000

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 12756 (WI)
Pharmacist Taxonomy 183500000X · Licence S021084 (AZ)

Record details

NPI number1003858218
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESDecember 2, 2020
Certification dateDecember 2, 2020

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