Individual provider · Type 1 NPI

Brooke Elizabeth Shaw, PharmD

Pharmacist · Grand Forks Afb, ND

NPI number 1104704931 Active · reactivated Nov 20, 2025

Practice location

1839 I St
Grand Forks Afb, ND 58205-6605

Mailing address

4150 S Washington St Apt 301
Grand Forks, ND 58201-3258

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X21134 (OK)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1104704931

Brooke Elizabeth Shaw, PharmD's National Provider Identifier is 1104704931, issued on Aug 21, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Grand Forks Afb, ND. The record was last updated on Oct 27, 2026.