TRACIE BOUDREAU
NPI 1750629994
Pharmacist in Saint Johns, FL
About Tracie Boudreau NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACIE BOUDREAU (NPI 1750629994) is an individual pharmacist in Saint Johns, Florida, licensed in Florida (PS38130) and active in the NPI registry since January 2013.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tracie Boudreau's NPI number?
The NPI number for Tracie Boudreau is 1750629994. It was assigned to this individual provider in the NPPES registry on January 23, 2013.
Where is Tracie Boudreau located?
Tracie Boudreau practices at 450 State Road 13 Suite 109, Saint Johns, FL 32259. The listed phone number is (904) 230-3207.
What is Tracie Boudreau's specialty?
The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.
When was this NPI record last updated?
The NPPES record for Tracie Boudreau was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.