Mark Boudreau, PHARMD

Pharmacist · Bloomington, MN

Individual Active NPI

NPI number 1558996884

Practice location

3913 W Old Shakopee Rd
Bloomington, MN 55437-2944
Phone
(952) 252-1062

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NPI record

NPI
1558996884
Entity type
Individual (Type 1)
Enumeration date
March 6, 2020
Last updated
March 6, 2020
Certified
March 6, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 19470-40 WI

About Dr. Boudreau

Mark Boudreau, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 3913 W Old Shakopee Rd, Bloomington, MN 55437-2944. The NPI number 1558996884 was assigned on March 6, 2020 and the record was last updated on March 6, 2020.

Dr. Boudreau lists a license in the registry: #19470-40 (WI) 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 Mark Boudreau, PHARMD?

The NPI number is 1558996884.

What is the phone number of Dr. Boudreau?

The phone number listed for the practice location is (952) 252-1062.

Where is Dr. Boudreau located?

3913 W Old Shakopee Rd, Bloomington, MN 55437-2944.

What is the taxonomy code for Dr. Boudreau?

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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