Waldbaums Pharmacy
LBN: Waldbaum Inc
Waldbaums Pharmacy is an health care organization with primary practice located at 1960 Deer Park Ave , Deer Park NY 11729-3327. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Waldbaum Inc can be contacted via phone (631) 242-0951, or through Kijowski, Susan via phone (201) 571-8326.
Contact Information
Primary practice address
1960 Deer Park Ave
Deer Park NY 11729-3327
Phone: (631) 242-0951
Fax: (631) 242-5815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 025839 | New York |
| Suppliers / Pharmacy | 333600000X | 025839 | New York |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1003831561 |
|---|---|
| LBN Legal business name | Waldbaum Inc |
| DBA Doing business as | Waldbaums Pharmacy |
| Authorized official | Kijowski, Susan |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Nov 19th, 2007 - about 17 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 | 1003831561 | NPPES |
| New York | Other | 02386767 | MEDICAID DME |
| New York | MEDICAID | 02386767 | MEDICAID DME |
| New York | Other | 3330747 | MEDICAID DME |
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