Individual
CHRISTOPHER JOSEPH FAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 PEACHTREE RD NW, ATLANTA, GA 30305-4915
(770) 375-8205
Mailing address
1210 MICHAEL RD NW, MONROE, GA 30656-4402
(770) 375-8205
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030763
GA
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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