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NPI Code Detail

MEDICARE: DR. JUSTIN JOSEPH SHERMAN PHARM.D.

MEDICARE: DR. JUSTIN JOSEPH SHERMAN PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1200XPharmacotherapy Pharmacist10924TN

General Provider Information

NPI Number : 1063514941
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUSTIN JOSEPH SHERMAN PHARM.D.
Provider Business Mailing Address
First Line : 121 MIZELL LN
Second Line :
City : WEST MONROE
State : LA
Zip : 71291-9058
Country : US
Telephone Number : 318-396-4376
Fax Number :
Provider Business Practice Location Address
First Line : 250 DESIARD PLAZA DR
Second Line :
City : MONROE
State : LA
Zip : 71203-4955
Country : US
Telephone Number : 318-343-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2006
Last Update Date : 07/08/2007

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