Bret Boucher

Pharmacist · Peoria, IL

Individual Active NPI

NPI number 1285061887

Practice location

901 W Lake Ave
Peoria, IL 61614-5968
Phone
(309) 682-2761
Fax
(309) 682-4267

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NPI record

NPI
1285061887
Entity type
Individual (Type 1)
Enumeration date
September 27, 2013
Last updated
September 27, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051038938 IL

About Bret Boucher

Bret Boucher is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 901 W Lake Ave, Peoria, IL 61614-5968. The NPI number 1285061887 was assigned on September 27, 2013 and the record was last updated on September 27, 2013.

Bret Boucher lists a license in the registry: #051038938 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bret Boucher?

The NPI number is 1285061887.

What is the phone number of Bret Boucher?

The phone number listed for the practice location is (309) 682-2761.

Where is Bret Boucher located?

901 W Lake Ave, Peoria, IL 61614-5968.

What is the taxonomy code for Bret Boucher?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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