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Individual
PHILLIP ALAN BAGLEY
Active
Individual
PHILLIP ALAN BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000011880
TN
183500000X
Pharmacist
RPH009757
GA
183500000X
Pharmacist
S012810
AZ
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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