| NPI | 1679529291 |
|---|---|
| Doing Business As | HAGGEN PHARMACY #103 |
| Entity Type | Organization |
| Authorized Contact | GAETANO DIPASQUA Corporate Senior Vice Presiden 360-650-8204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA PHAR.CF.60534402) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2015-04-01 |