| NPI | 1386690204 |
|---|---|
| Doing Business As | HAGGEN PHARMACY #105 |
| 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 60534405) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2015-04-01 |