Ms Mary Fanshaw, PHARMD - Pharmacist in Beaver Dam, WI

Ms Mary Fanshaw, PHARMD is a Pharmacist based in Beaver Dam, Wisconsin. Ms Mary Fanshaw is licensed to practice in Wisconsin (license number 21537-40) and her current practice location is 607 Park Ave, Beaver Dam, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (920) 356-0148.

NPI number for Ms Mary Fanshaw is 1710735501 and her current mailing address is N7976 N Crystal Lake Rd, Beaver Dam, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710735501.

Contact Information

Ms Mary Fanshaw, PHARMD
607 Park Ave,
Beaver Dam, WI 53916-2201
(920) 356-0148
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMs Mary Fanshaw
GenderFemale
SpecialityPharmacist
Location607 Park Ave, Beaver Dam, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710735501
  • Provider Enumeration Date: 05/08/2024
  • Last Update Date: 05/08/2024

Medical Identifiers

Medical identifiers for Ms Mary Fanshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710735501NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 21537-40 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Mary Fanshaw is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Mary Fanshaw, PHARMD
N7976 N Crystal Lake Rd,
Beaver Dam, WI 53916-9383

Ph: (920) 382-2269
Ms Mary Fanshaw, PHARMD
607 Park Ave,
Beaver Dam, WI 53916-2201

Ph: (920) 356-0148

Reviews and Comments


Pharmacist in Beaver Dam, WI

Mike Leahan, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 822 Park Ave, Beaver Dam, WI 53916
Phone: 920-887-7511    Fax: 920-887-0725
Sherry Bisbee,
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Medicare: Not Enrolled in Medicare
Practice Location: 705 S University Ave, Beaver Dam, WI 53916
Phone: 920-356-0040    
Jayson Persch, PHARMD
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Medicare: Not Enrolled in Medicare
Practice Location: 120 Frances Ln, Beaver Dam, WI 53916
Phone: 920-885-5808    
Mr. Anthony Thomas Bridgeman, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 822 Park Ave, Beaver Dam, WI 53916
Phone: 608-887-7511    
Susan Lorraine Sutter, R.PH.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 705 S University Ave, Suite 180, Beaver Dam, WI 53916
Phone: 920-356-0040    Fax: 920-356-0056
Dr. Alex Clifford Holmes, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 607 Park Ave, Beaver Dam, WI 53916
Phone: 920-356-0148    
Blair Adam Baillio, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 609 N Spring St, Beaver Dam, WI 53916
Phone: 920-356-1500    

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