Individual
DR. KENNETH ALAN GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
300 N HOSPITAL DRIVE, PRICE, UT 84501
(435) 636-4840
Mailing address
300 N HOSPITAL DRIVE, PRICE, UT 84501
(435) 636-4840
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
368004-1704
UT
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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