Waldbaum INC

NPI #1386669844 in Howard Beach, New York

Provider Information

NPI Number
1386669844
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 20, 2007

Practice Location

Address
15601 CROSSBAY BLVD
ZIP Code
11414-2746
Phone
(718) 641-9853

Authorized Official

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

Specialties & Taxonomy Codes

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

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