David Bourbonnais

Pharmacist · Peru, IL

Individual Active NPI

NPI number 1811591985

Practice location

1004 Shooting Park Rd
Peru, IL 61354-1871
Phone
(815) 224-1411

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NPI record

NPI
1811591985
Entity type
Individual (Type 1)
Enumeration date
November 29, 2020
Last updated
November 29, 2020
Certified
November 29, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051289811 IL

About David Bourbonnais

David Bourbonnais is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1004 Shooting Park Rd, Peru, IL 61354-1871. The NPI number 1811591985 was assigned on November 29, 2020 and the record was last updated on November 29, 2020.

David Bourbonnais lists a license in the registry: #051289811 (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 David Bourbonnais?

The NPI number is 1811591985.

What is the phone number of David Bourbonnais?

The phone number listed for the practice location is (815) 224-1411.

Where is David Bourbonnais located?

1004 Shooting Park Rd, Peru, IL 61354-1871.

What is the taxonomy code for David Bourbonnais?

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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