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Organization

SARATOGA ENTERPRISES INC

Active
Other names
LINDS COUPEVILLE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
KATHERINE STALLMAN BSPHARM (PHARMACIST IN CHARGE)
(360) 221-0211
Entity
Organization

Contact information

Practice address
40 N MAIN ST, COUPEVILLE, WA 98239-9556
(360) 678-4010
(360) 678-2075
Mailing address
PO BOX 70, COUPEVILLE, WA 98239-0070
(360) 678-4010

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
3336C0003X
Community/Retail Pharmacy
CF00057687
WA
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4903173
NCPDP PROVIDER IDENTIFICATION NUMBER
05
6030951
WA
Enumeration date
11/21/2006
Last updated
10/05/2011
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