Individual
BRUCE D HAGMANN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R,PH., M.SC.,
Contact information
Practice address
903 N MAIN AVE, BIG LAKE, TX 76932-3201
(325) 884-3300
(325) 884-3234
Mailing address
PO BOX 220, BIG LAKE, TX 76932-0220
(325) 884-2579
(325) 884-3234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18715
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144632
—
TX
Enumeration date
08/10/2005
Last updated
07/09/2007
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