| NPI | 1447276571 |
|---|---|
| Doing Business As | HAGUE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GINO BORTOLUZZI Owner 757-622-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201002286) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2010-10-04 |