Individual
CHRISTOPHER PATRICK GAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5890 NORTH BELT WEST, BELLEVILLE, IL 62223
(618) 277-4440
Mailing address
5890 NORTH BELT WEST, BELLEVILLE, IL 62223
(618) 277-4440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051286536
IL
Other
Enumeration date
10/15/2011
Last updated
10/15/2011
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