DR. Dane Fajack, PHARMD

NPI #1831718360 in Radcliff, Kentucky

Provider Information

NPI Number: 1831718360
Entity Type: Individual
Name: DR. Dane Fajack, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Apr 14, 2020
Last Updated: Apr 14, 2020

Practice Location

Address: 635 S DIXIE BLVD
City: Radcliff
State: Kentucky
ZIP Code: 40160-1219
Phone: (270) 352-0880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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