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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANDRA BOUZEMANN

Active

SHANDRA BOUZEMANN is a Pharmacist Clinician (PhC) healthcare provider located in OLIVE BRANCH, Mississippi. NPI 1255096129 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · OLIVE BRANCH, MS

Registration Details

NPI Number
1255096129
Provider Type
Individual
Gender
Female
NPI Issued
Nov 4, 2021 (4.5884515466677 yrs)
Last Updated
Nov 4, 2021
License
E-100397 (MS)

Practice Information

Address
7427 GOODMAN RD
OLIVE BRANCH, MS, 386541910
Browse MS providers · Browse ZIP 38654
Phone
6628951956
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X

Other Pharmacist Clinician (PhC) Providers in OLIVE BRANCH, MS

Name Credential NPI
MELISSA J INCE RPH 1558657486
DR. WILLIAM ANTHONY FROST PHARMD 1154618007
GLENN ALLEN ADAIR R.P.H. 1851678775
TERESA CHENAULT 1154815587
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.