Provider Demographics
NPI:1790733459
Name:DUGAN, PATRICK ALOYSIUS (PHARM-D)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:ALOYSIUS
Last Name:DUGAN
Suffix:
Gender:M
Credentials:PHARM-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4608 SHADOWGLEN DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-4239
Mailing Address - Country:US
Mailing Address - Phone:719-266-6462
Mailing Address - Fax:719-533-0851
Practice Address - Street 1:4608 SHADOWGLEN DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-4239
Practice Address - Country:US
Practice Address - Phone:719-266-6462
Practice Address - Fax:719-533-0851
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13473183500000X
CA39753183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist