Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Mary Fanshaw, PHARMD

Individual provider Pharmacist · NPI 1710735501

MS. Mary Fanshaw, PHARMD is a Pharmacist in Beaver Dam, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2024.

Licensed in
WI
In the registry since
2024
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

607 Park Ave
Beaver Dam, WI 53916-2201
Phone: (920) 356-0148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 21537-40 (WI)

Record details

NPI number1710735501
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedMay 8, 2024
Last updated in NPPESMay 8, 2024
Certification dateMay 3, 2024

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