| NPI | 1366499824 |
|---|---|
| Doing Business As | HAGGEN PHARMACY #2074 |
| 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: OR 0001617) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2015-04-07 |