Provider Demographics
NPI:1063514941
Name:SHERMAN, JUSTIN JOSEPH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:JOSEPH
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 MIZELL LN
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-9058
Mailing Address - Country:US
Mailing Address - Phone:318-396-4376
Mailing Address - Fax:
Practice Address - Street 1:250 DESIARD PLAZA DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-4955
Practice Address - Country:US
Practice Address - Phone:318-343-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN109241835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy