Provider Demographics
NPI:1508950783
Name:HAGEN, CHRISTOPHER ALLAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ALLAN
Last Name:HAGEN
Suffix:
Gender:M
Credentials:PHARMD
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Other - Credentials:
Mailing Address - Street 1:50 CENTRACARE DRIVE
Mailing Address - Street 2:CENTRACARE HEALTH LONG PRAIRIE
Mailing Address - City:LONG PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:56347-2100
Mailing Address - Country:US
Mailing Address - Phone:320-732-2141
Mailing Address - Fax:320-732-6913
Practice Address - Street 1:50 CENTRACARE DRIVE
Practice Address - Street 2:CENTRACARE HEALTH LONG PRAIRIE
Practice Address - City:LONG PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:56347-2100
Practice Address - Country:US
Practice Address - Phone:320-732-2141
Practice Address - Fax:320-732-6913
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN11698981835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy