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Jason C Bagley, RPH
Pharmacist in Fort Wayne, Indiana
NPI 1790227510

Jason C Bagley is a Pharmacist based in Shelbyville, IN. Jason C Bagley practices in Fort Wayne, IN and has the professional credentials of RPH. The NPI Number for Jason C Bagley is 1790227510 and holds a License No. 26018380A (Indiana).

The current practice location address for Jason C Bagley is 1326 N Coliseum Blvd, Fort Wayne, IN and can be reached out via phone at 260-739-6069 and via fax at 260-739-6696.

Location: 1326 N Coliseum Blvd, Fort Wayne, IN, 46176-9030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790227510
Provider Name
Jason C Bagley
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
1326 N Coliseum Blvd, Fort Wayne, IN, 46176-9030
Phone Number
260-739-6069
Fax Number
260-739-6696
Provider Enumeration Date
11/10/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26018380A 01 IN PHARMACIST STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1326 N Coliseum Blvd
City
Fort Wayne
State
Indiana
Zip
46805-5526
Phone Number
260-739-6069
Fax Number
260-739-6696
person
Provider Business Mailing Address Details
Address
1326 N Coliseum Blvd
City
Fort Wayne
State
Indiana
Zip
46805-5526
Phone Number
260-739-6069
Fax Number
260-739-6696
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
26018380A (Indiana)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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