Organization · NPI-2

Haggen, INC

Pharmacy · Mount Vernon, WA

NPI number1316970650
StatusActive
Last updated in NPPESOct 9, 2013

Details

NPI
1316970650
Entity type
Organization (NPI-2)
Legal business name
Haggen, INC
Organization subpart
No
Enumeration date
Jul 9, 2006
Last updated
Oct 9, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy56467WAYes
3336C0003X Pharmacy, Community/Retail Pharmacy––

Other names

  • Haggen Food & Pharmacy, Top Food & Drug (Doing Business As)

Practice location

2601 E Division St
Mount Vernon, WA 98274-4748

Phone 360-848-6930 · Fax 360-848-6948

Mailing address

2211 Rimland Drive
Suite 300
Bellingham, WA 98226

Phone 360-733-8720 · Fax 360-752-6437

Authorized official

Gaetano (Guy) Anthony Dipasqua
Vice President, Phar
3606508204

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