Haggen Pharmacy #113

LBN: Haggen Opco North Llc
Haggen Pharmacy #113 is an health care organization with primary practice located at 17520 State Route 9 Se , Snohomish WA 98296-8320. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Haggen Opco North Llc can be contacted via phone (360) 668-1407, or through Dipasqua, Gaetano via phone (360) 650-8204.

Contact Information

Primary practice address
17520 State Route 9 Se Snohomish WA 98296-8320
Phone: (360) 668-1407
Fax: (360) 668-1215
Website:
Map and Directions
Authorized official contact:
Name: Dipasqua, Gaetano
Phone: (360) 650-8204

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 60536200 Washington

Profile Details

NPI number 1013964477
LBN Legal business name Haggen Opco North Llc
DBA Doing business as Haggen Pharmacy #113
Authorized official Dipasqua, Gaetano
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2006
Last updated Jun 10th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013964477 NPPES
Other 2150626 PK

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