Marybeth Boudreau in Bangor - Pharmacotherapy
Marybeth Boudreau - NPI 1477546380
Marybeth Boudreau is a Pharmacotherapy in Bangor, Maine. Marybeth Boudreau practices all healthcare services and medical treatments related to Pharmacotherapy. The NPI Number for Marybeth Boudreau is 1477546380. The last update date is 2007-07-08.
Marybeth Boudreau's current location address is 489 State St, Bangor, Maine. You can contact this provider via phone number 2079738927. The mailing address for Marybeth Boudreau is 489 State St, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marybeth Boudreau |
|---|---|
| Address | 489 State St, Bangor, Maine |
| Phone Number | 2079738927 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1477546380 |
|---|---|
| Provider Enumeration Date | 2005-08-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 489 State St |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44016616 |
| Phone Number | 2079738927 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacotherapy |
|---|---|
| Taxonomy | 1835P1200X |
| Licence No | PR4792 |
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Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and cons |
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What is the unique identifier code issued to Marybeth Boudreau by the Centers for Medicare & Medicaid Services (CMS)?
The Marybeth Boudreau has been assigned the NPI (National Provider Identifier) 1477546380. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Marybeth Boudreau's physical address?
The Marybeth Boudreau is physically located at 489 State St, in the city of Bangor, ME, with the postal code 44016616.
What is Marybeth Boudreau's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marybeth Boudreau's area of specialization is Pharmacotherapy, and the corresponding taxonomy code that categorizes this field of practice is 1835P1200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1477546380 to Marybeth Boudreau?
The Marybeth Boudreau received its 1477546380 assignment from the Centers for Medicare & Medicaid Services on 2005-08-25.
As of what date were the Marybeth Boudreau's details last updated?
The information pertaining to the Marybeth Boudreau, including its address, specialty, and other details, was most recently updated on 2007-07-08.