Healthcare Provider Details

I. General information

NPI: 1285598532
Provider Name (Legal Business Name): BOUVIER PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 LINCOLN ST
MARLBOROUGH MA
01752-2092
US

IV. Provider business mailing address

515 LINCOLN ST
MARLBOROUGH MA
01752-2092
US

V. Phone/Fax

Practice location:
  • Phone: 508-485-0432
  • Fax:
Mailing address:
  • Phone: 508-485-0432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BRIAN BOUVIER
Title or Position: PRESIDENT
Credential:
Phone: 508-485-0432