Organization
MERL INC
Active
Other names
Hoagland LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE STEPHENS (OWNER/TREASURER)
(360) 685-5012
Entity
Organization
Contact information
Practice address
1414 MEADOR AVE, H102, BELLINGHAM, WA 98229-5833
(360) 734-7544
(360) 734-7547
Mailing address
2330 YEW ST, BELLINGHAM, WA 98229-3942
(360) 734-5413
(360) 734-1454
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
FL00056477
WA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
FL00056477
WA
332BX2000X
Oxygen Equipment & Supplies (DME)
FL00056477
WA
3336C0004X
Compounding Pharmacy
FL00056477
WA
3336L0003X
Long Term Care Pharmacy
Primary
FL00056477
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15851001
GROUP HEALTH PROVIDER
WA
01
—
216123
WASHINGTON L&I
WA
01
—
4929761
NCPDP/NABP
WA
05
—
6029417
—
WA
Enumeration date
08/08/2006
Last updated
05/14/2021
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