Individual
SHELLY BHARDWAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7520 118TH AVE, PLEASANT PRAIRIE, WI 53158-1128
(262) 857-9484
Mailing address
10435 S HUMMINGBIRD LN, OAK CREEK, WI 53154-6325
(414) 688-7859
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.303391
IL
183500000X
Pharmacist
Primary
20829-40
WI
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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