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

Kelly Panuska

Individual provider Pharmacist · NPI 1093319162

Kelly Panuska is a Pharmacist in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2020
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Practice location Address checks out

8601 Boat Club Rd
Fort Worth, TX 76179-3604
Phone: (817) 236-0186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 25378 (TX)

Record details

NPI number1093319162
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 29, 2020
Last updated in NPPESNovember 29, 2020
Certification dateNovember 29, 2020

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