Individual provider · Type 1 NPI

Freddy Keith Bales

Pharmacist · Fort Worth, TX

NPI number 1679174015 Active

Practice location

4400 Bryant Irvin Rd
Fort Worth, TX 76132-1064

Fax (817) 989-1937

Mailing address

1120 Mccampbell Rd
Mansfield, TX 76063-5359

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X28822 (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…

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About NPI 1679174015

Freddy Keith Bales's National Provider Identifier is 1679174015, issued on Nov 3, 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 3, 2020.