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

Thomas Boucher

Individual provider Pharmacist · NPI 1629409099

Thomas Boucher is a Pharmacist in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.

Licensed in
WI
In the registry since
2013

Practice location Address checks out

301 Bay Park Sq
Green Bay, WI 54304-5104
Phone: (920) 499-5889
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 8802-40 (WI)

Record details

NPI number1629409099
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 10, 2013
Last updated in NPPESDecember 10, 2013
Mailing addressE125 Cherneyville Rd, Luxemburg, WI 54217-7464

Other providers in Green Bay