Organization
HAGGEN INC
Active
Other names
TOP 49
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW J CHARTER RPH (VICE PRESIDENT PHAMACY)
(360) 650-8316
Entity
Organization
Contact information
Practice address
5600 MARTIN WAY E, LACEY, WA 98516-6308
(360) 923-2020
(360) 923-2038
Mailing address
5600 MARTIN WAY E, LACEY, WA 98516-6308
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
4862
WA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4923529
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6013932
—
WA
Enumeration date
07/09/2006
Last updated
04/01/2009
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