Waldbaum Inc is a Pharmacy in Deer Park, New York. Waldbaum Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Waldbaum Inc is 1003831561. The last update date is 2007-11-19.
Waldbaum Inc's current location address is 1960 Deer Park Ave, Deer Park, New York. You can contact this provider via phone number 6312420951 and fax number 6312425815. The mailing address for Waldbaum Inc is 1960 Deer Park Ave, Deer Park, New York. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Waldbaum Inc |
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Address | 1960 Deer Park Ave, Deer Park, New York |
Phone Number | 6312420951 |
Fax Number | 6312425815 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PHARMACY S |
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Authorized Official Name | Kijowski Susan |
Telephone Number | 2015718326 |
NPI Number Detail
NPI Number | 1003831561 |
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Provider Enumeration Date | 2006-07-13 |
Last Updated Date | 2007-11-19 |
Provider Mailing Address Detail
Address | 1960 Deer Park Ave |
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City | Deer Park |
State | New York (NY) |
Post Code | 117293327 |
Phone Number | 6312420951 |
Fax Number | 6312425815 |
Provider's Primary Taxonomy Detail
Speciality | Pharmacy |
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Taxonomy | 333600000X |
Licence No | 25839 |
Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2386767 | NY | MEDICAID DME | |
2386767 | NY | -- | |
3330747 | OTHER ID NUMBER-COMMERCIAL NUM |
Post Comment/ Review Below
What is the unique identifier code issued to Waldbaum Inc by the Centers for Medicare & Medicaid Services?
The Waldbaum Inc has been assigned the NPI (National Provider Identifier) 1003831561. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Waldbaum Inc?
The Waldbaum Inc is situated at 1960 Deer Park Ave, in the city of Deer Park, state of NY, with the zip code 117293327.
What is Waldbaum Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Waldbaum Inc is Pharmacy, and the taxonomy code that classifies this field of practice is 333600000X.
On what date did the Waldbaum Inc receive the assignment of its 1003831561 from the Centers for Medicare & Medicaid Services?
The Waldbaum Inc was issued its 1003831561 by the Centers for Medicare & Medicaid Services on 2006-07-13.
When was the information related to Waldbaum Inc most recently updated or refreshed?
The details pertaining to the Waldbaum Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-19.