Individual
DARA WHITNEY KAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
115 VERNON ST, LAGRANGE, GA 30240-3109
(706) 812-9852
(706) 812-9937
Mailing address
138 KESWICK MANOR DR, TYRONE, GA 30290-1541
(561) 706-4515
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024724
GA
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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