Individual
MR. BRYAN P HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
426 10TH ST, WORTHINGTON, MN 56187-2341
(507) 376-3444
(507) 376-5441
Mailing address
31341 297TH ST, WORTHINGTON, MN 56187-1435
(507) 376-3867
(507) 376-5441
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115021-8
MN
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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