Individual
SHAWN PATRICK FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2516
(308) 324-1726
Mailing address
515 22ND AVE, MONROE, WI 53566-1598
(608) 324-2516
(608) 324-1726
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051298470
IL
183500000X
Pharmacist
Primary
17535-40
WI
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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