Waldbaum INC

NPI #1184649733 in Shirley, New York

Provider Information

NPI Number
1184649733
Entity Type
Organization
Organization Name
Waldbaum INC
Subpart
Yes (part of a larger organization)
Parent Organization
THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC
Primary Specialty
Pharmacy
Enumeration Date
Jul 13, 2006
Last Updated
Nov 18, 2007

Practice Location

Address
999 MONTAUK HWY
ZIP Code
11967-2130
Phone
(631) 281-8924

Authorized Official

Name
SUSAN KIJOWSKI
Title
PHARMACY SPECIALIST
Phone
(201) 571-8326

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Durable Medical Equipment & Medical Supplies
Pharmacy

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