Individual provider · Type 1 NPI

Bryan Bacon, RPH

Pharmacist · Fort Leavenworth, KS

NPI number 1780984872 Active

Practice location

550 Pope Ave
Fort Leavenworth, KS 66027-2332

Call (913) 684-6070 Map

Mailing address

300 Reagan Dr
Lansing, KS 66043-1737

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X1-16367 (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 1780984872

Bryan Bacon, RPH's National Provider Identifier is 1780984872, issued on Oct 24, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fort Leavenworth, KS. The record was last updated on Sep 18, 2014.