MS. Mary Fanshaw, PHARMD
NPI #1710735501 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1710735501
- Entity Type
- Individual
- Name
- MS. Mary Fanshaw, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- May 8, 2024
- Last Updated
- May 8, 2024
Practice Location
- Address
- 607 PARK AVE
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-2201
- Phone
- (920) 356-0148
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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