Waldbaums Pharmacy
LBN: Waldbaum Inc
Waldbaums Pharmacy is an health care organization with primary practice located at 655 Montauk Hwy , East Patchogue NY 11772. 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) 758-9216, or through Kijowski, Susan via phone (201) 571-8326.
Contact Information
Primary practice address
655 Montauk Hwy
East Patchogue NY 11772
Phone: (631) 758-9216
Fax: (631) 758-5607
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 020605 | New York |
| Suppliers / Pharmacy | 333600000X | 020605 | New York |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1992720544 |
|---|---|
| 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992720544 | NPPES |
| Other | 3396163 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 01201638 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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