Individual provider · Type 1 NPI

Mary Fanshaw, PharmD

Pharmacist · Beaver Dam, WI

NPI number 1710735501 Active

Practice location

607 Park Ave
Beaver Dam, WI 53916-2201

Call (920) 356-0148 Map

Mailing address

N7976 N Crystal Lake Rd
Beaver Dam, WI 53916-9383

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X21537-40 (WI)

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 1710735501

Mary Fanshaw, PharmD's National Provider Identifier is 1710735501, issued on May 8, 2024. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Beaver Dam, WI. The record was last updated on May 8, 2024.