Donald Bradley Massopust

NPI #1851999320 in Ashland, Wisconsin

Provider Information

NPI Number: 1851999320
Entity Type: Individual
Name: Donald Bradley Massopust
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 15, 2020
Last Updated: Oct 15, 2020

Practice Location

Address: 2500 LAKE SHORE DR E
City: Ashland
State: Wisconsin
ZIP Code: 54806-2421
Phone: (715) 682-3660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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