Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY JOHN BOUCOUVALAS
ActiveGREGORY JOHN BOUCOUVALAS is a Pharmacist Clinician (PhC) healthcare provider located in SACO, Maine. NPI 1184330797 is currently active in the NPPES registry. Verify at CMS.
Pharmacist Clinician (PhC) · SACO, ME
Registration Details
- NPI Number
- 1184330797
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2023 (3.57090849062 yrs)
- Last Updated
- Jan 26, 2023
- License
-
PR3931 (ME)
Practice Information
- Address
-
2 LEHNER RDSACO, ME, 040721836Browse ME providers · Browse ZIP 04072
- Phone
- 2073002471
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.