IndividualActive
Anthony Bridgeman, RPH
NPI 1104264779 · Pharmacist · Beaver Dam, WI
Provider details
- NPI number
- 1104264779
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- 12512-40 (WI)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
822 Park Ave
Beaver Dam, WI 53916-2206
Phone: (608) 887-7511
Approximate (ZIP-level) locationGet directions
Mailing address
822 Park Ave
Beaver Dam, WI 53916-2206
Registry dates
- Enumerated
- 2013-06-05
- Last updated
- 2013-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.