Waldbaums Pharmacy

LBN: Waldbaum Inc
Waldbaums Pharmacy is an health care organization with primary practice located at 812 Montauk Hwy , Center Moriches NY 11934-2212. 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) 874-9025, or through Kijowski, Susan via phone (201) 571-8326.

Contact Information

Primary practice address
812 Montauk Hwy Center Moriches NY 11934-2212
Phone: (631) 874-9025
Fax: (631) 874-2381
Website:
Map and Directions
Authorized official contact:
Name: Kijowski, Susan
Phone: (201) 571-8326

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 024751 New York
Suppliers / Pharmacy 333600000X 024751 New York
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1669497129
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 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669497129 NPPES
Other 3316482 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 02094177 OTHER ID NUMBER-COMMERCIAL NUMBER

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