# HAZEL HAWKINS MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hazel Hawkins MEM Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417314501
- **Authorized official:** MRS. MARY CASILLAS (PHARMACY DIRECTOR)
- **Authorized official phone:** (831) 636-2604

## Contact information

- **Practice address:** 911 SUNSET DR, HOLLISTER, CA 95023-5606
- **Practice address phone:** (831) 636-2655
- **Practice address fax:** (831) 636-2614
- **Mailing address:** 911 SUNSET DR, HOLLISTER, CA 95023-5606
- **Mailing address phone:** (831) 636-2655
- **Mailing address fax:** (831) 636-2614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | — | — |
| 3336I0012X | Institutional Pharmacy | HPE39475 | CA | Yes |

## Other

- **Enumeration date:** 01/21/2016
- **Last updated:** 01/11/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2157490 | PK | — |