Provider Demographics
NPI:1861085169
Name:BEAR, ALEC (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALEC
Middle Name:
Last Name:BEAR
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N122W5940 SHEBOYGAN RD UNIT 205
Mailing Address - Street 2:
Mailing Address - City:CEDARBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53012-1390
Mailing Address - Country:US
Mailing Address - Phone:608-617-8053
Mailing Address - Fax:
Practice Address - Street 1:1915 WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:WI
Practice Address - Zip Code:53024-2605
Practice Address - Country:US
Practice Address - Phone:262-377-0352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI20664-403336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy