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STACY BOUCHER PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1588267587

Individual Registrant:
 STACY  BOUCHER PHARMD
Gender: F
Sole Proprietor

Location and contact information for practice:
181 HIGHWAY 84 W  DALEVILLE, AL 36322-9113 US
Tel: 334-598-4242  Fax: 334-598-4240

Contact information for business:
181 HIGHWAY 84 W  DALEVILLE, AL 36322-9113 US
Tel: 334-598-4242  Fax: --

Registration Information:
NPI: 1588267587
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AL14575

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
ALABAMA STATE BOARD OF PHARMACY14575AL01




HEALTH CARE JOBS AL - Page 1



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