Gerald H Fagen, RPH
NPI #1972083442 in Valparaiso, Indiana
Provider Information
- NPI Number
- 1972083442
- Entity Type
- Individual
- Name
- Gerald H Fagen, RPH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- Aug 15, 2018
- Last Updated
- Jun 30, 2023
Practice Location
- Address
- 2401 VALLEY DR
- City
- Valparaiso
- State
- Indiana
- ZIP Code
- 46383-2520
- Phone
- (219) 413-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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