Individual
BRENDA MAE BOZARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 JOHN SIMS PKWY E, NICEVILLE, FL 32578-2208
(850) 389-3124
Mailing address
1300 JOHN SIMS PKWY E, NICEVILLE, FL 32578-2208
(850) 389-3124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15463
IA
183500000X
Pharmacist
P16968
AL
183500000X
Pharmacist
Primary
PS26143
FL
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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