Individual
MR. CHRIS A GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
310 STORY STR, BOONE, IA 50036
(515) 432-8253
Mailing address
703 EDGEWOOD DR, BOONE, IA 50036
(515) 432-8253
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
G15016
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G15016
IOWA PHARMACIST LICENSE
IA
Enumeration date
03/02/2007
Last updated
01/11/2011
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