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1699390591
MICHAEL DONALD BOUCKAERT
BAY CITY, MI
NPI
1699390591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302025032)
Enumeration Date
2020-06-16
Last Update Date
2020-06-16
Business Address
Mr. MICHAEL DONALD BOUCKAERT RPh.
1900 COLUMBUS AVE
BAY CITY, MI 48708-6831
Phone number: 989-894-3744
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Mailing Address
Mr. MICHAEL DONALD BOUCKAERT RPh.
4578 FRASER RD
BAY CITY, MI 48706-9423
Phone number: 989-798-1349
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