Individual
MARCELYN JAY HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2150 E NATIONAL AVE, BRAZIL, IN 47834-2831
(812) 443-0466
Mailing address
1095 E COUNTY ROAD 1200 N, BRAZIL, IN 47834-7056
(812) 446-3410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016197A
IN
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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