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Robert L Hagen
Community/Retail Pharmacy in Sullivan, Illinois
NPI 1023123056

Robert L Hagen is a Community/Retail Pharmacy based in Sullivan, IL and is specialized in Community/Retail Pharmacy. Robert L Hagen practices in Sullivan, IL. The NPI Number for Robert L Hagen is 1023123056 and holds a License No. (Illinois).

The current practice location address for Robert L Hagen is 8 E Harrison St, Sullivan, IL and can be reached out via phone at 217-728-7388 and via fax at 217-728-8046.

Location: 8 E Harrison St, Sullivan, IL, 61951-1905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023123056
Provider Name
Robert L Hagen
Credential
Provider Entity Type
Organization
Address
8 E Harrison St, Sullivan, IL, 61951-1905
Phone Number
217-728-7388
Fax Number
217-728-8046
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1445320 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
8 E Harrison St
City
Sullivan
State
Illinois
Zip
61951-1905
Phone Number
217-728-7388
Fax Number
217-728-8046
person
Provider Business Mailing Address Details
Address
8 E Harrison St
City
Sullivan
State
Illinois
Zip
61951-1905
Phone Number
217-728-7388
Fax Number
217-728-8046
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
054007624 (Illinois)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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