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Contact Information

JASON C BAGLEY, RPH
1326 N COLISEUM BLVD
FORT WAYNE, IN46805-5526
 Phone: 260-739-6069
 Fax: 260-739-6696
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for JASON C BAGLEY · (Male)

NPI Number 1790227510
Status Active
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 11/10/2016
Last updated 11/10/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 26018380A
  • IN Other 26018380A PHARMACIST STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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