Individual
MR. DAVID E BOZONE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
5760 HIGHWAY 80 E, PEARL, MS 39208-8930
(601) 664-0202
(601) 664-0730
Mailing address
5760 HIGHWAY 80 E, PEARL, MS 39208-8930
(601) 664-0202
(601) 664-0730
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E5004
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330589
—
MT
Enumeration date
09/24/2010
Last updated
09/24/2010
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