| NPI | 1407866825 |
|---|---|
| Doing Business As | HOAGLAND LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CARRIE STEPHENS Owner/Treasurer 360-685-5012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WA FL00056477) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA FL00056477) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: WA FL00056477) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: WA FL00056477) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: WA FL00056477) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2021-05-14 |