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Dr. Nicole Marie Shouse, PharmD

Pharmacist in Janesville, WI. Individual provider (NPI-1).

NPI number1801423116
StatusActive
Last updated in NPPESMar 25, 2020

Details

NPI
1801423116
Entity type
Individual (NPI-1)
Name
Dr. Nicole Marie Shouse
Credential
PharmD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 25, 2020
Certification date
Mar 25, 2020
Last updated
Mar 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist19875-40WIYes

Practice location

1700 Milton Ave
Janesville, WI 53545-0833

Phone 608-756-0614 · Fax 608-756-0634

Mailing address

1700 Milton Ave Unit 1
Janesville, WI 53545-0833

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