Healthcare Provider Details

I. General information

NPI: 1316980659
Provider Name (Legal Business Name): SARATOGA CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 08/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 CHURCH ST
SARATOGA SPRINGS NY
12866-1003
US

IV. Provider business mailing address

211 CHURCH ST
SARATOGA SPRINGS NY
12866-1003
US

V. Phone/Fax

Practice location:
  • Phone: 518-583-8382
  • Fax: 518-583-8469
Mailing address:
  • Phone: 518-583-8382
  • Fax: 518-583-8469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number009980
License Number StateNY

VIII. Authorized Official

Name: MARYANNE DAVIS
Title or Position: PHARMACY DIRECTOR
Credential:
Phone: 518-583-8382