Individual
MR. SHANE BERKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
675 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 252-1415
Mailing address
59 HAWKS LANDING CIR APT 102, VERONA, WI 53593-8050
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17189-40
WI
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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