Provider Demographics
NPI:1316385537
Name:HAGGAR, NANCY K (RPH)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:K
Last Name:HAGGAR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 S TOWNSEND AVE
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-3988
Mailing Address - Country:US
Mailing Address - Phone:970-249-2064
Mailing Address - Fax:970-249-7720
Practice Address - Street 1:128 S TOWNSEND AVE
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-3988
Practice Address - Country:US
Practice Address - Phone:970-249-2064
Practice Address - Fax:970-249-7720
Is Sole Proprietor?:No
Enumeration Date:2013-06-10
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO124391835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist