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Individual

BRADLEY SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
PO BOX 40, FRIENDSHIP, WI 53934-0040
(608) 339-3331
Mailing address
PO BOX 40, FRIENDSHIP, WI 53934-0040

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15194-40
WI
1835C0207X
Compounded Sterile Preparations Pharmacist
15194-40
WI

Other

Enumeration date
08/28/2024
Last updated
08/28/2024
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