Provider Demographics
NPI:1437884814
Name:BOJIC, MIRZA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MIRZA
Middle Name:
Last Name:BOJIC
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 1:35 LOMASNEY WAY APT 1107
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-1547
Mailing Address - Country:US
Mailing Address - Phone:615-815-6301
Mailing Address - Fax:
Practice Address - Street 1:2201 21ST AVE S
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-4906
Practice Address - Country:US
Practice Address - Phone:615-981-8847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH240893183500000X
ZZ3292183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist