Provider Demographics
NPI:1093938391
Name:HAGER, ROBERT PERCY JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:PERCY
Last Name:HAGER
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 98
Mailing Address - Street 2:
Mailing Address - City:EVA
Mailing Address - State:AL
Mailing Address - Zip Code:35621-0098
Mailing Address - Country:US
Mailing Address - Phone:256-796-7131
Mailing Address - Fax:256-796-0316
Practice Address - Street 1:4109 EVA RD
Practice Address - Street 2:
Practice Address - City:EVA
Practice Address - State:AL
Practice Address - Zip Code:35621-7648
Practice Address - Country:US
Practice Address - Phone:256-796-7131
Practice Address - Fax:256-796-0316
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7953183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist