NPI | 1548216542 |
---|---|
Doing Business As | HAGGEN PHARMACY #2098 |
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 0001040) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2015-04-20 |