NPI 1043987092

Kennedy Lane Casleton

Practitioner Pharmacy Technician Granbury, TX

Practice location

Address: 3804 E US Highway 377, Granbury, TX 76049-7606
Phone: (817) 579-2512
Fax: (817) 579-2516

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X

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Registry record

NPI: 1043987092
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Aug 2021
Record last updated: 26 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.