Haggen Opco North LLC

NPI #1366499824 in Tigard, Oregon

Provider Information

NPI Number
1366499824
Entity Type
Organization
Organization Name
Haggen Opco North LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 30, 2006
Last Updated
Apr 7, 2015

Practice Location

Address
14300 SW BARROW RD
City
Tigard
State
Oregon
ZIP Code
97223
Phone
(503) 590-4697

Authorized Official

Name
GAETANO DIPASQUA
Title
CORPORATE SENIOR VICE PRESIDENT, PH
Phone
(360) 650-8204

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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