Individual provider · Type 1 NPI

Tatum Bedore

Pharmacist · Pratt, KS

NPI number 1639080104 Active

Practice location

1108 E 1st St
Pratt, KS 67124-2060

Mailing address

17008 W Lawson St
Goddard, KS 67052-2209

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X1-110586 (KS)

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 1639080104

Tatum Bedore's National Provider Identifier is 1639080104, issued on Sep 14, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Pratt, KS. The record was last updated on Sep 14, 2026.