Provider Demographics
NPI:1497863310
Name:HAGLER, JOE MARCUS (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOE
Middle Name:MARCUS
Last Name:HAGLER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5962 TERRAPIN RD
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72601-9081
Mailing Address - Country:US
Mailing Address - Phone:870-365-2611
Mailing Address - Fax:870-741-9747
Practice Address - Street 1:124 W STEPHENSON AVE
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-4224
Practice Address - Country:US
Practice Address - Phone:870-741-2361
Practice Address - Fax:870-741-9747
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR7035AR183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist