Individual
DR. DERRICK RANDALL SHEARER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3330 E CALUMET ST, APPLETON, WI 54915-4127
(920) 733-3016
Mailing address
N9131 PETUNIA CT, APPLETON, WI 54915-5659
(920) 585-4358
(920) 733-3218
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17128-40
WI
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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