Provider Demographics
NPI:1932872553
Name:JOUNI, SIHAM
Entity Type:Individual
Prefix:MS
First Name:SIHAM
Middle Name:
Last Name:JOUNI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1680 CENTURY RIDGE LN NE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55906-7740
Mailing Address - Country:US
Mailing Address - Phone:507-261-7258
Mailing Address - Fax:
Practice Address - Street 1:1112 CIVIC CENTER DR NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-1843
Practice Address - Country:US
Practice Address - Phone:507-206-5173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN125145183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist