Provider Demographics
NPI:1568627818
Name:SCHERMETZLER, BRADLEY J (PHARM D)
Entity Type:Individual
Prefix:
First Name:BRADLEY
Middle Name:J
Last Name:SCHERMETZLER
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12500 W BLUEMOUND RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ELM GROVE
Mailing Address - State:WI
Mailing Address - Zip Code:53122-2600
Mailing Address - Country:US
Mailing Address - Phone:262-787-2132
Mailing Address - Fax:262-787-2130
Practice Address - Street 1:1575 N RIVERCENTER DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-3978
Practice Address - Country:US
Practice Address - Phone:414-224-1555
Practice Address - Fax:414-224-1514
Is Sole Proprietor?:No
Enumeration Date:2008-07-25
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15275-040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist