Organization
HAGA CORPORATION
Active
Other names
Millersport Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GARY HAGA (PRESIDENT/RPH)
(740) 467-2232
Entity
Organization
Contact information
Practice address
12075 LANCASTER ST, MILLERSPORT, OH 43046
(740) 467-2232
(740) 467-2938
Mailing address
PO BOX 267, MILLERSPORT, OH 43046
(740) 467-2232
(740) 467-2938
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
020785050
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0668344
—
OH
Enumeration date
08/30/2006
Last updated
04/22/2014
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