NPI 1184330797
Gregory John Boucouvalas
Practice location
- Address
- 2 Lehner Rd, Saco, ME 04072-1836
- Phone
- (207) 300-2471
- Mailing address
- 639 Ferry Rd, Saco, ME 04072-3017
Registered specialties
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
Registry record
- NPI
- 1184330797
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Jan 2023
- Record last updated
- 26 Jan 2023
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.