Individual
MR. JOHN STEPHENS HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
511 MEMORIAL BLVD, SPRINGFIELD, TN 37172-2905
(615) 384-4561
(615) 384-4562
Mailing address
1973 HYGEIA RD, GREENBRIER, TN 37073-5218
(615) 643-0071
(615) 384-4562
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3659
TN
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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