Individual
NANCY LYNN KAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
700 30TH AVE S, MOORHEAD, MN 56560-4926
(218) 331-2668
(218) 331-2674
Mailing address
700 30TH AVE S, MOORHEAD, MN 56560-4926
(218) 331-2668
(218) 331-2674
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115035
MN
183500000X
Pharmacist
17989
IA
183500000X
Pharmacist
4395
ND
183500000X
Pharmacist
S009996
AZ
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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