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NPI Code Detail

MEDICARE: DR. SCOTT PATRICK KENDALL PHARMD

MEDICARE:  DR. SCOTT PATRICK KENDALL  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist5622731-1701UT

General Provider Information

NPI Number : 1669751954
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT PATRICK KENDALL PHARMD
Provider Business Mailing Address
First Line : 201 COMMERCE ST STE 210
Second Line :
City : FORT WORTH
State : TX
Zip : 76102-7206
Country : US
Telephone Number : 682-285-1100
Fax Number : 682-285-1103
Provider Business Practice Location Address
First Line : 201 COMMERCE ST STE 210
Second Line :
City : FORT WORTH
State : TX
Zip : 76102-7206
Country : US
Telephone Number : 682-285-1100
Fax Number : 682-285-1103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2011
Last Update Date : 08/30/2024

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Directions to “ DR. SCOTT PATRICK KENDALL PHARMD” Practice Location

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