Individual
KYLE S HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, PHARMD
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 873-6867
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS51718
FL
183700000X
Pharmacy Technician
36024
—
Other
Enumeration date
04/16/2012
Last updated
12/07/2021
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