Waldbaum INC
NPI #1922023480 in Centereach, New York
Provider Information
- NPI Number
- 1922023480
- 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 12, 2007
Practice Location
- Address
- 1934 MIDDLE COUNTRY RD
- City
- Centereach
- State
- New York
- ZIP Code
- 11720-3535
- Phone
- (631) 737-2253
Authorized Official
- Name
- SUSAN KIJOWSKI
- Title
- PHARMACY SPECIALIST
- Phone
- (201) 571-8326
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
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