Organization
HAZEL HAWKINS MEMORIAL HOSPITAL
Active
Other names
Hazel Hawkins MEM Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY CASILLAS (PHARMACY DIRECTOR)
(831) 636-2604
Entity
Organization
Contact information
Practice address
911 SUNSET DR, HOLLISTER, CA 95023-5606
(831) 636-2655
(831) 636-2614
Mailing address
911 SUNSET DR, HOLLISTER, CA 95023-5606
(831) 636-2655
(831) 636-2614
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
HPE39475
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157490
PK
—
Enumeration date
01/21/2016
Last updated
01/11/2024
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