NPI 1104391085

Jason Michael Bouvier, CPHT

Practitioner Pharmacy Technician Martinez, GA

Practice location

Address: 403 Furys Ferry Rd, Martinez, GA 30907-9038
Phone: (706) 650-3665
Mailing address: 2384 Wheeless Rd, Augusta, GA 30906-5404

Registered specialties (2)

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence PHTC066137 (GA)

Other Pharmacy Technician providers in Georgia →

Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X

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Registry record

NPI: 1104391085
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Oct 2018
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.