IndividualActive
Keith Metcalf, PHARMD, BCNSP
NPI 1073646139 · Nutrition Support Pharmacist · Fort Worth, TX
Provider details
- NPI number
- 1073646139
- Entity type
- Individual
- Primary specialty
- Nutrition Support PharmacistPharmacy Service Providers
- Credential
- PHARMD, BCNSP
- Sex
- Male
- Sole proprietor
- No
- License
- 21043 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1400 8th Ave
Fort Worth, TX 76104-4110
Phone: (817) 927-6141
Fax: (817) 922-1799
Approximate (ZIP-level) locationGet directions
Mailing address
6613 Eton Ct
Benbrook, TX 76132-2774
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.