Haacker, Lisa Marie

Haacker, Lisa Marie is an sole proprietor health care provider with primary practice located at 11912 Ne Fourth Plain Blvd , Vancouver WA 98662. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Haacker, Lisa Marie can be contacted via phone (360) 944-8368.

Contact Information

Primary practice address
11912 Ne Fourth Plain Blvd Vancouver WA 98662
Fax: (360) 944-6555
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X VA 00062276 Washington

Profile Details

NPI number 1639443195
LBN Legal business name Haacker, Lisa Marie
Credentials PHARMACY TECHNIEIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2012
Last updated Mar 1st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639443195 NPPES
Washington Other VA 00062276 WASHINGTON STATE

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