<Unavail>

LBN: Haggen, Inc
<Unavail> is an health care organization with primary practice located at 3711 88Th St Ne , Marysville WA 98270-7214. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Haggen, Inc can be contacted via phone (360) 530-7761, or through Dipasqua, Gaetano (Guy) Anthony via phone (360) 650-8204.

Contact Information

Primary practice address
3711 88Th St Ne Marysville WA 98270-7214
Phone: (360) 530-7761
Fax: (360) 530-7795
Website:
Map and Directions
Authorized official contact:
Name: Dipasqua, Gaetano (Guy) Anthony R.PH.
Phone: (360) 650-8204

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 56583 Washington
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1225061567
LBN Legal business name Haggen, Inc
DBA Doing business as <Unavail>
Authorized official Dipasqua, Gaetano (Guy) Anthony R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated Oct 9th, 2013 - about 13 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 1225061567 NPPES
Other 4927678 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 6022982 OTHER ID NUMBER-COMMERCIAL NUMBER

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