Individual
LANCE COPELAND FAGLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
467 POOLER PKWY, POOLER, GA 31322-5102
(912) 330-7308
Mailing address
467 POOLER PKWY, POOLER, GA 31322-5102
(912) 330-7308
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027262
GA
Other
Enumeration date
07/16/2013
Last updated
07/18/2013
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