Individual provider · Type 1 NPI
Keith Metcalf, PharmD, BCNSP
Nutrition Support Pharmacist · Fort Worth, TX
NPI number
1073646139
Active
Practice location
1400 8th Ave
Fort Worth, TX 76104-4110
Fax (817) 922-1799
Mailing address
6613 Eton Ct
Benbrook, TX 76132-2774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Support Pharmacist Primary | 1835N1003X | 21043 (TX) |
Nutrition Support Pharmacist: A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.
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About NPI 1073646139
Keith Metcalf, PharmD, BCNSP's National Provider Identifier is 1073646139, issued on Mar 14, 2007. The primary taxonomy on file is Nutrition Support Pharmacist (1835N1003X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 8, 2007.