Waltz Long Term Care Pharmacy
LBN: Guardian Pharmacy Of Maine, Llc
Waltz Long Term Care Pharmacy is an health care organization with primary practice located at 3 Business Pkwy Suite 2, Brunswick ME 04011-7390. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Guardian Pharmacy Of Maine, Llc can be contacted via phone (207) 373-9077, or through Oland, Courtney via phone (207) 373-9077.
Contact Information
Primary practice address
3 Business Pkwy Suite 2
Brunswick ME 04011-7390
Phone: (207) 373-9077
Fax: (207) 373-9088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | CSP50001564 | Maine |
Profile Details
| NPI number | 1871672469 |
|---|---|
| LBN Legal business name | Guardian Pharmacy Of Maine, Llc |
| DBA Doing business as | Waltz Long Term Care Pharmacy |
| Authorized official | Oland, Courtney |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Feb 13th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871672469 | NPPES |
| New Hampshire | MEDICAID | 3099413 | |
| New Hampshire | Other | CSP50001564 | |
| New Hampshire | Other | E100200569 | |
| New Hampshire | MEDICAID | 1871672469 | |
| New Hampshire | Other | 2007537 |
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