Haggen Pharmacy #2102

LBN: Haggen Opco North Llc
Haggen Pharmacy #2102 is an health care organization with primary practice located at 1690 Sw Allen Creek Rd , Grants Pass OR 97527-5559. 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 (541) 471-9043, or through Dipasqua, Gaetano via phone (360) 650-8204.

Contact Information

Primary practice address
1690 Sw Allen Creek Rd Grants Pass OR 97527-5559
Phone: (541) 471-9043
Fax: (541) 471-9047
Website:
Map and Directions
Authorized official contact:
Name: Dipasqua, Gaetano
Phone: (360) 650-8204

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 0002020 Oregon

Profile Details

NPI number 1063468064
LBN Legal business name Haggen Opco North Llc
DBA Doing business as Haggen Pharmacy #2102
Authorized official Dipasqua, Gaetano
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 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 1063468064 NPPES
Other 2151958 PK

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