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Organization

SARATOGA ENTERPRISES INC

Active
Other names
LANGLEY DRUG
Organization subpart
No

Provider details

NPI number
Authorized official
KATHERINE STALLMAN RPH (PHRM MANG)
(360) 331-5270
Entity
Organization

Contact information

Practice address
105 1ST ST, LANGLEY, WA 98260-0047
(360) 221-4369
(360) 221-0828
Mailing address
105 1ST ST, PO BOX 47, LANGLEY, WA 98260

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
601604070
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4904480
NCPDP PROVIDER IDENTIFICATION NUMBER
05
6045009
WA
Enumeration date
01/11/2007
Last updated
07/06/2010
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