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Waldbaum INC

Pharmacy in Lindenhurst, NY. Organization (NPI-2).

NPI number1366467912
StatusActive
Last updated in NPPESNov 9, 2007

Details

NPI
1366467912
Entity type
Organization (NPI-2)
Legal business name
Waldbaum INC
Organization subpart
Yes
Enumeration date
Jul 13, 2006
Last updated
Nov 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy022259NYYes
3336C0003X Pharmacy, Community/Retail Pharmacy––
332B00000X Durable Medical Equipment & Medical Supplies022259NY

Other names

  • Waldbaums Pharmacy (Doing Business As)

Practice location

50 E Hoffman Ave
Lindenhurst, NY 11757-5001

Phone 631-957-4697 · Fax 631-957-6280

Mailing address

50 E Hoffman Ave
Lindenhurst, NY 11757-5001

Authorized official

Susan Kijowski
Pharmacy Specialist
2015718326

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Other Pharmacy providers in Lindenhurst, NY

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