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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENT ZANE BERGEN

Active Sole Proprietor

Pharmacist · FORT WORTH, TX

Registration Details

NPI Number
1073115523
Provider Type
Individual
Gender
Male
NPI Issued
Nov 10, 2020 (5.4651527675802 yrs)
Last Updated
Nov 10, 2020
License
28723 (TX)
Sole Proprietor
Yes

Practice Information

Address
4400 BRYANT IRVIN RD
FORT WORTH, TX, 761321064
Browse TX providers · Browse ZIP 76132
Phone
8179891931
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in FORT WORTH, TX

Name Credential NPI
JENNIFER T FIX PHARMD, MBA 1326047507
DR. TANA RAELIZABETH DONNELL PHARM D. 1770576894
RODORA HAYAG MANALANSAN RPH 1336124353
CRAIG ANTHONY NICHOLSON RPH 1417933912
MS. MARCELLA M. CROPPER R.PH. 1972589786
MR. DAVID E REDELSPERGER RPH, DPH 1275505307
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.