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Organization

SARATOGA ENTERPRISES INC

Active
Other names
LINDS FREELAND PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC STALLMAN BS PHARM (RESPONSIBLE MANAGER)
(360) 331-4858
Entity
Organization

Contact information

Practice address
1609 E MAIN ST, FREELAND, WA 98249
(360) 331-4700
(360) 331-4702
Mailing address
PO BOX 99, FREELAND, WA 98249-0099

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHARCF00055856
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4913009
NCPDP PROVIDER IDENTIFICATION NUMBER
05
6020416
WA
Enumeration date
11/14/2006
Last updated
02/21/2012
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