Waldbaum INC

NPI #1275558827 in Whitestone, New York

Provider Information

NPI Number
1275558827
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 15, 2007

Practice Location

Address
15301 10TH AVE
ZIP Code
11357-1233
Phone
(718) 767-0052

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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