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General NPI Number Information
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NPI Number | 1740372200
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Entity Type | Organization
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Legal Business Name | WINSLOW DRUG
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 12/30/2008
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Provider Practice Location Address
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Address Line | 290 WINSLOW WAY E
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City | BAINBRIDGE ISLAND
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State | WA
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Zip | 98110
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Country | US
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Telephone | 206-842-2652
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Fax | 206-780-0829
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Provider Business Mailing Address
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Address Line | 290 WINSLOW WAY E
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City | BAINBRIDGE ISLAND
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State | WA
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Zip | 98110
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Country | US
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Telephone | 206-842-2652
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Fax | 206-780-0829
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | JANET M ELTZ
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Credential | R.PH.
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Telephone | 206-842-2652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | CF00000944
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License Number State | WA
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