Organization
HAGGEN, INC
Active
Other names
Haggen Food & Pharmacy, TOP Food & Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAETANO ANTHONY DIPASQUA R.PH. (VICE PRESIDENT, PHAR)
(360) 650-8204
Entity
Organization
Contact information
Practice address
21900 HIGHWAY 99, EDMONDS, WA 98026-8038
(425) 672-1520
(425) 672-1538
Mailing address
2211 RIMLAND DRIVE, SUITE 300, BELLINGHAM, WA 98226
(360) 733-8720
(360) 752-6437
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
4261
WA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4922440
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6012074
—
WA
Enumeration date
07/09/2006
Last updated
10/09/2013
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