Madsen, Shane B

Madsen, Shane B is an individual health care provider with primary practice located at 650 E Indian School Rd , Phoenix AZ 85012-1839. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacotherapy, Pharmacy Service Providers / Psychiatric. Pharmacy Service Providers / Pharmacotherapy is his primary health care specialty. Madsen, Shane B can be contacted via phone (602) 277-5551.

Contact Information

Primary practice address
650 E Indian School Rd Phoenix AZ 85012-1839
Phone: (602) 277-5551
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X PH00047783 Washington
Pharmacy Service Providers / Psychiatric 1835P1300X 14763 Arizona

Profile Details

NPI number 1538277041
LBN Legal business name Madsen, Shane B
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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