Organization
HAGGEN INC
Active
Other names
TOP 39
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW JOSEPH CHARTER RPH (VICE PRESIDENT PHARMACY)
(360) 650-8316
Entity
Organization
Contact information
Practice address
31515 20TH AVE S, FEDERAL WAY, WA 98003-5458
(253) 839-9322
Mailing address
31515 20TH AVE S, FEDERAL WAY, WA 98003-5458
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
3866
WA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4920648
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6009245
—
WA
Enumeration date
07/09/2006
Last updated
02/23/2009
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