NPI 1235719543

Brooke Ellyn Keneipp

Practitioner Pharmacy Technician Waco, TX

Practice location

Address: 801 Ih 35 S, Waco, TX 76706-1013
Phone: (254) 799-0219

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 304430 (TX)

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Registry record

NPI: 1235719543
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Apr 2021
Record last updated: 11 Apr 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.