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Dane Fajack, PHARMD — NPI 1831718360, Radcliff, KY | NPI Central

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NPI 1831718360

IndividualActive

Dane Fajack, PHARMD

NPI 1831718360 · Pharmacist · Radcliff, KY

Provider details

NPI number: 1831718360
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Male
Sole proprietor: No
License: 021045 (KY)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 021045 (KY)
Pharmacy Service Providers

Practice location

635 S Dixie Blvd

Radcliff, KY 40160-1219

Phone: (270) 352-0880

Approximate (ZIP-level) locationGet directions

More KY providers

Mailing address

3004 Greenup Rd

Louisville, KY 40217-1735

Registry dates

Enumerated: 2020-04-14
Last updated: 2020-04-14
Certified: 2020-04-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.