Waldbaum INC
Pharmacy in Long Beach, NY. Organization (NPI-2).
NPI number1104841667
StatusActive
Last updated in NPPESNov 19, 2007
Details
- NPI
- 1104841667
- Entity type
- Organization (NPI-2)
- Legal business name
- Waldbaum INC
- Organization subpart
- Yes
- Enumeration date
- Jul 13, 2006
- Last updated
- Nov 19, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 024839 | NY | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 024839 | NJ |
Other names
- Waldbaums Pharmacy (Doing Business As)
Practice location
85 E Park AveLong Beach, NY 11561-3597
Phone 516-889-6704 · Fax 516-889-6709
Mailing address
85 E Park AveLong Beach, NY 11561-3597
Authorized official
Susan Kijowski
Pharmacy Specialist
2015718326
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All 5 Pharmacy providers in Long Beach · All 989 providers in Long Beach
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