Organization
HAGGEN INC
Active
Other names
TOP 21
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW J CHARTER RPH (VICE PRESIDENT PHARMAY)
(360) 650-8316
Entity
Organization
Contact information
Practice address
1201 N 175TH ST, SHORELINE, WA 98133-5064
(206) 533-2861
(206) 533-2895
Mailing address
1201 N 175TH ST, SHORELINE, WA 98133-5064
(206) 533-2861
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
57696
WA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4930536
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6026983
—
WA
Enumeration date
07/09/2006
Last updated
03/31/2009
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