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NPI Code Detail

MEDICARE: NICOLE BOOZER PHARMD

MEDICARE: NICOLE BOOZER PHARMD
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist024426GA

General Provider Information

NPI Number : 1629608716
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE BOOZER PHARMD
Provider Business Mailing Address
First Line : 6680 EUCLID CT
Second Line :
City : CUMMING
State : GA
Zip : 30041-0809
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3155 ROYAL DR
Second Line :
City : ALPHARETTA
State : GA
Zip : 30022-2475
Country : US
Telephone Number : 770-496-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2020
Last Update Date : 06/01/2026

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Directions to “ NICOLE BOOZER PHARMD” Practice Location

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