Joseph Mark Bourque, RPH Valid NPI
Individual provider · Pharmacist · The Villages, FL
- NPI
- 1043657232
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- PS0023874 (FL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2013-05-28
- Last updated
- 2013-05-28
Practice location
820 Old Camp Rd
The Villages, FL 32162-5611
(352) 753-7124