Individual
DAVID BAGOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1 CENTRE DR, PETERSBURG, IL 62675-9467
(217) 632-7777
(217) 632-7618
Mailing address
1 CENTRE DR, PETERSBURG, IL 62675-9467
(217) 632-7777
(217) 632-7618
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051038458
IL
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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