Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Dane Fajack, PHARMD

Individual provider Pharmacist · NPI 1831718360

Dr. Dane Fajack, PHARMD is a Pharmacist in Radcliff, Kentucky. Licensed in Kentucky. Registered with an NPI since 2020.

Licensed in
KY
In the registry since
2020
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

635 S Dixie Blvd
Radcliff, KY 40160-1219
Phone: (270) 352-0880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 021045 (KY)

Record details

NPI number1831718360
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedApril 14, 2020
Last updated in NPPESApril 14, 2020
Certification dateApril 14, 2020
Mailing address3004 Greenup Rd, Louisville, KY 40217-1735

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