| NPI | 1013964477 |
|---|---|
| Doing Business As | HAGGEN PHARMACY #113 |
| Entity Type | Organization |
| Authorized Contact | GAETANO DIPASQUA Corporate Senior Vice President, Ph 360-650-8204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WA 60536200) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2015-06-10 |