Individual
DAN JOHN HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
808 LAKE ST S, FOREST LAKE, MN 55025-2614
(651) 464-5518
(651) 464-1513
Mailing address
808 LAKE ST S, FOREST LAKE, MN 55025-2614
(651) 464-5518
(651) 464-1513
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
113270
MN
Other
Enumeration date
06/29/2013
Last updated
06/29/2013
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