Individual
LEROY BAGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2615 BROADWAY, EVERETT, WA 98201-3044
(425) 259-6262
Mailing address
2615 BROADWAY, EVERETT, WA 98201-3044
(425) 259-6262
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
PH00010076
WA
Other
Enumeration date
06/10/2012
Last updated
06/10/2012
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