Shellie Marie Fairless in Fort Worth - Pharmacist
Shellie Marie Fairless - NPI 1184775496
Shellie Marie Fairless is a Pharmacist in Fort Worth, Texas. Shellie Marie Fairless practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Shellie Marie Fairless is 1184775496. The last update date is 2007-07-08.
Shellie Marie Fairless's current location address is 6020 Harris Pkwy, Fort Worth, Texas. You can contact this provider via phone number 8177380722 and fax number 8177385662. The mailing address for Shellie Marie Fairless is 6020 Harris Pkwy, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shellie Marie Fairless |
|---|---|
| Address | 6020 Harris Pkwy, Fort Worth, Texas |
| Phone Number | 8177380722 |
| Fax Number | 8177385662 |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1184775496 |
|---|---|
| Provider Enumeration Date | 2007-01-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6020 Harris Pkwy |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761324102 |
| Phone Number | 8177380722 |
| Fax Number | 8177385662 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 22154 |
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Definition: 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 m |
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What is the unique provider identifier assigned to Shellie Marie Fairless?
The Shellie Marie Fairless has been issued the NPI (National Provider Identifier) 1184775496 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Shellie Marie Fairless located?
The Shellie Marie Fairless is located at 6020 Harris Pkwy, Fort Worth, TX 761324102.
What is Shellie Marie Fairless's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shellie Marie Fairless is Pharmacist, and the taxonomy classification code that categorizes this area of expertise is 183500000X.
When did the Shellie Marie Fairless receive its 1184775496?
The Shellie Marie Fairless was issued its 1184775496 on 2007-01-15, which is the date when the organization was assigned this unique identifier.
When was the Shellie Marie Fairless's information last updated?
The Shellie Marie Fairless's information was last updated on 2007-07-08.
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