Waldbaum INC

NPI #1376568923 in College Point, New York

Provider Information

NPI Number
1376568923
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
13311 20TH AVE
ZIP Code
11356-2405
Phone
(718) 460-8259

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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