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Contact Information

BRADLEY SHAW, PHARM.D.
PO BOX 40
FRIENDSHIP, WI53934-0040
 Phone: 608-339-3331
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
 

Compounded Sterile Preparations

1835C0207X
Indicates primary specialty

NPI Profile & details for BRADLEY SHAW · (Male)

NPI # 1649004128
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 08/28/2024
Last updated 08/28/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI License # 15194-40
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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