Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bradley Bouchard

Individual provider Pharmacist · NPI 1629486774

Bradley Bouchard is a Pharmacist in Old Town, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2014
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Practice location Address checks out

302 Main St
Old Town, ME 04468-1535
Phone: (207) 827-8021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PR27869 (ME)

Record details

NPI number1629486774
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 31, 2014
Last updated in NPPESJuly 31, 2014

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