MS. Terri Lee Fagan, RPH, CGP

NPI #1134131212 in Milwaukie, Oregon

Provider Information

NPI Number
1134131212
Entity Type
Individual
Name
MS. Terri Lee Fagan, RPH, CGP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
RPH, CGP
Enumeration Date
Aug 13, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
4560 SE INTERNATIONAL WAY
Address 2
SUITE 101
State
Oregon
ZIP Code
97222-4628
Phone
(971) 206-5205

Specialties & Taxonomy Codes

Specialty
Pharmacist

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