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

DR. KEITH ROBERT FAIRALL, PHARMD

Active Sole Proprietor

DR. KEITH ROBERT FAIRALL, PHARMD is a Pharmacist healthcare provider located in BANGOR, Pennsylvania. NPI 1104372572 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · BANGOR, PA

Registration Details

NPI Number
1104372572
Provider Type
Individual
Gender
Male
NPI Issued
Aug 26, 2016 (9.9297063230562 yrs)
Last Updated
Aug 26, 2016
License
RP447716 (PA)
Sole Proprietor
Yes

Practice Information

Address
525 FOX GAP RD
BANGOR, PA, 180135832
Browse PA providers · Browse ZIP 18013
Phone
6109847564
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in BANGOR, PA

Name Credential NPI
DR. JOYCE ANNA BEERY PHARMD 1104092824
KALEY HIPPENSTEAL 1497168454
RAYNA MCCLAIN PHARMD 1295390250
DR. CHRISTIAN MICHAEL GIOVANNINI RPH, PHARMD. 1144824301
KELLY JACZYNSKI 1982208096
DR. KAREN ELIZABETH RADZIEREZ PHARMD 1639774250
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.