IndividualActive
Gregory Boucouvalas
NPI 1184330797 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Saco, ME
Provider details
- NPI number
- 1184330797
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PR3931 (ME)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2 Lehner Rd
Saco, ME 04072-1836
Phone: (207) 300-2471
Approximate (ZIP-level) locationGet directions
Mailing address
639 Ferry Rd
Saco, ME 04072-3017
Registry dates
- Enumerated
- 2023-01-26
- Last updated
- 2023-01-26
- Certified
- 2023-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.