Haggen Pharmacy #105

LBN: Haggen Opco North Llc
Haggen Pharmacy #105 is an health care organization with primary practice located at 450 N Wilbur Ave , Walla Walla WA 99362-2254. 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 (509) 529-3706, or through Dipasqua, Gaetano via phone (360) 650-8204.

Contact Information

Primary practice address
450 N Wilbur Ave Walla Walla WA 99362-2254
Phone: (509) 529-3706
Fax: (509) 529-3788
Website:
Map and Directions
Authorized official contact:
Name: Dipasqua, Gaetano
Phone: (360) 650-8204

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 60534405 Washington

Profile Details

NPI number 1386690204
LBN Legal business name Haggen Opco North Llc
DBA Doing business as Haggen Pharmacy #105
Authorized official Dipasqua, Gaetano
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Apr 1st, 2015 - about 11 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 1386690204 NPPES
Other 2150624 PK

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