Frederick John Fagen

NPI #1275999013 in Coldwater, Michigan

Provider Information

NPI Number: 1275999013
Entity Type: Individual
Name: Frederick John Fagen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jan 9, 2016
Last Updated: Jan 9, 2016

Practice Location

Address: 800 E CHICAGO ST
City: Coldwater
State: Michigan
ZIP Code: 49036-2055
Phone: (517) 278-5897

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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