Individual
SHANDRA BOUZEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7427 GOODMAN RD, OLIVE BRANCH, MS 38654-1910
(662) 895-1956
Mailing address
7880 GROVE CT E APT 7-103, GERMANTOWN, TN 38138-3300
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
E-100397
MS
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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