Keith Robert Fairall, PHARMD
Pharmacist · Bangor, PA
Practice location
525 Fox Gap RdBangor, PA 18013-5832
- Phone
- (610) 984-7564
NPI record
- NPI
- 1104372572
- Entity type
- Individual (Type 1)
- Enumeration date
- August 26, 2016
- Last updated
- August 26, 2016
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X |
RP447716 | PA |
About Dr. Fairall
Keith Robert Fairall, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 525 Fox Gap Rd, Bangor, PA 18013-5832. The NPI number 1104372572 was assigned on August 26, 2016 and the record was last updated on August 26, 2016.
Dr. Fairall lists a license in the registry: #RP447716 (PA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Keith Robert Fairall, PHARMD?
The NPI number is 1104372572.
What is the phone number of Dr. Fairall?
The phone number listed for the practice location is (610) 984-7564.
Where is Dr. Fairall located?
525 Fox Gap Rd, Bangor, PA 18013-5832.
What is the taxonomy code for Dr. Fairall?
The primary taxonomy code is 183500000X – Pharmacist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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