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1790227510
JASON C BAGLEY
FORT WAYNE, IN
NPI
1790227510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IN 26018380A)
Enumeration Date
2016-11-10
Last Update Date
2016-11-10
Business Address
-- JASON C BAGLEY Rph
1326 N COLISEUM BLVD
FORT WAYNE, IN 46805-5526
Phone number: 260-739-6069
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Mailing Address
-- JASON C BAGLEY Rph
3126 S 550 W
SHELBYVILLE, IN 46176-9030
Phone number: 317-642-8174
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