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

Dr. Keith Robert Fairall, PHARMD

Individual provider Pharmacist · NPI 1104372572

Dr. Keith Robert Fairall, PHARMD is a Pharmacist in Bangor, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2016
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

525 Fox Gap Rd
Bangor, PA 18013-5832
Phone: (610) 984-7564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RP447716 (PA)

Record details

NPI number1104372572
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedAugust 26, 2016
Last updated in NPPESAugust 26, 2016
Mailing address525 Fox Gap Rd, Bangor, PA 18013-5832

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