Individual
CHARESE SHADWICK
Active
Individual
CHARESE SHADWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPP
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051294221
IL
1835P1300X
Psychiatric Pharmacist
Primary
2010025225
MO
Other
Enumeration date
12/02/2015
Last updated
04/02/2018
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