Organization
HAGGEN INC
Active
Other names
TOP 41
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW J CHARTER RPH (VICE PRESIDENT PHARMACY)
(360) 650-8316
Entity
Organization
Contact information
Practice address
3130 S 23RD ST, TACOMA, WA 98405-1606
(253) 591-3110
(253) 591-6278
Mailing address
3130 S 23RD ST, TACOMA, WA 98405-1606
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
4089
WA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4921068
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6009898
—
WA
Enumeration date
07/09/2006
Last updated
04/01/2009
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