Healthcare Provider Details

I. General information

NPI: 1568627818
Provider Name (Legal Business Name): BRADLEY J SCHERMETZLER PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2008
Last Update Date: 06/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 N RIVERCENTER DR
MILWAUKEE WI
53212-3978
US

IV. Provider business mailing address

12500 W BLUEMOUND RD SUITE 201
ELM GROVE WI
53122-2600
US

V. Phone/Fax

Practice location:
  • Phone: 414-224-1555
  • Fax: 414-224-1514
Mailing address:
  • Phone: 262-787-2132
  • Fax: 262-787-2130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15275-040
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: