Individual
GLENNA KATRINA HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
603 S 4TH ST, CHILLICOTHE, IL 61523-2267
(309) 274-6419
(309) 274-2506
Mailing address
3327 W KING JAMES RD, PEORIA, IL 61615-2589
(309) 922-9541
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.290593
IL
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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