Individual provider · Type 1 NPI
Jason C. Bagley, RPH
Pharmacist · Fort Wayne, IN
Practice location
1326 N Coliseum Blvd
Fort Wayne, IN 46805-5526
Fax (260) 739-6696
Mailing address
3126 S 550 W
Shelbyville, IN 46176-9030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 26018380A (IN) |
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 1790227510
Jason C. Bagley, RPH's National Provider Identifier is 1790227510, issued on Nov 10, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 10, 2016.