NPI | 1467658864 |
---|---|
Doing Business As | HAGGEN PHARMACY #2087 |
Entity Type | Organization |
Authorized Contact | GAETANO DIPASQUA Corp Senior Vice President, Pharmac 360-650-8204 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR 0002417) |
Enumeration Date | 2007-06-22 |
Last Update Date | 2015-06-10 |