Organization
HAAG APOTHECARY, INC
Active
Other names
Haag Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER N HAAG (PRESIDENT)
(620) 342-1242
Entity
Organization
Contact information
Practice address
1400 W 12TH AVE STE A, EMPORIA, KS 66801-2516
(620) 342-1242
(620) 342-1243
Mailing address
1400 W 12TH AVE, EMPORIA, KS 66801-2516
(620) 342-1242
(620) 342-1243
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2-12995
KS
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142118
PK
—
Enumeration date
08/14/2013
Last updated
04/24/2018
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