Individual provider · Type 1 NPI
Ikenna Modebelu
Pharmacist · Fort Worth, TX
Practice location
5201 Golden Triangle Blvd
Fort Worth, TX 76244-4468
Mailing address
9617 Wexley Way
Fort Worth, TX 76131-1486
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | PH238079 (MA) |
| Pharmacist Primary | 183500000X | 57121 (TX) |
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…
3 other providers at this address
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About NPI 1104420397
Ikenna Modebelu's National Provider Identifier is 1104420397, issued on Nov 28, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fort Worth, TX. The record was last updated on Nov 28, 2020.