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

Mr. Michael Blair Bourquin, RPH

Individual provider Pharmacist · NPI 1679591721

Mr. Michael Blair Bourquin, RPH is a Pharmacist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

6255 Lake Gray Blvd
Jacksonville, FL 32244-7502
Phone: (904) 777-3363
Fax: (904) 777-5971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS 37477 (FL)

Record details

NPI number1679591721
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESJuly 8, 2007
Mailing address961 W Tennessee Trce, Jacksonville, FL 32259-1940

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