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General NPI Number Information
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NPI Number | 1326098294
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Entity Type | Organization
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Legal Business Name | REAGAN PHARMACY, INC.
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 111 W MILL ST
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City | HARTFORD
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State | AL
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Zip | 36344-1647
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Country | US
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Telephone | 334-588-3109
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Fax | 334-588-0669
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Provider Business Mailing Address
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Address Line | 111 W MILL ST
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City | HARTFORD
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State | AL
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Zip | 36344-1647
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Country | US
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Telephone | 334-588-3109
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Fax | 334-588-0669
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MR. DONALD O'NEAL HAGLER
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Credential | RPH
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Telephone | 334-588-3109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 108320
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License Number State | AL
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