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Organization
HAZEL HAWKINS MEMORIAL HOSPITAL
Active
Organization
HAZEL HAWKINS MEMORIAL HOSPITAL
Active
Other names
Hazel Hawkins MEM Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY CASILLAS (PHARMACY DIRECTOR)
(831) 636-2604
Entity
Organization
Contact information
Practice address
911 SUNSET DR, HOLLISTER, CA 95023-5606
(831) 636-2655
(831) 636-2614
Mailing address
911 SUNSET DR, HOLLISTER, CA 95023-5606
(831) 636-2655
(831) 636-2614
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
HPE39475
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157490
PK
—
Enumeration date
01/21/2016
Last updated
01/11/2024
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