Shane F Fagan

NPI #1932743077 in Cambridge, Ohio

Provider Information

NPI Number: 1932743077
Entity Type: Individual
Name: Shane F Fagan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 1, 2019
Last Updated: Nov 1, 2019

Practice Location

Address: 1045 WHEELING AVE
City: Cambridge
State: Ohio
ZIP Code: 43725-2441
Phone: (740) 432-9301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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