Individual provider · Type 1 NPI
Thomas Fagan
Pharmacist · Richmond, VA
Practice location
1201 Broadwalk Blvd
Richmond, VA 23249
Fax (804) 675-5006
Mailing address
12705 Clearwater Drive
Midlothian, VA 23114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 0202007681 (VA) |
| Pharmacist | 183500000X | 28RI01782400 (NJ) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1407922214
Thomas Fagan's National Provider Identifier is 1407922214, issued on Nov 27, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Richmond, VA. The record was last updated on Jul 8, 2007.