Individual provider · Type 1 NPI

Keith Robert Fairall, PharmD

Pharmacist · Bangor, PA

NPI number 1104372572 Active

Practice location

525 Fox Gap Rd
Bangor, PA 18013-5832

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	RP447716 (PA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1104372572

Keith Robert Fairall, PharmD's National Provider Identifier is 1104372572, issued on Aug 26, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Bangor, PA. The record was last updated on Aug 26, 2016.