Organization · Type 2 NPI

Waldbaum Inc

Pharmacy · Brooklyn, NY

NPI number 1629093273 Active

Practice location

2149 Ralph Ave
Brooklyn, NY 11234-5405

Fax (718) 531-3852

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	021087 (NY)
Pharmacy Primary	333600000X	021087 (NY)
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: 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 prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

Another provider at this address

Henry ReisnerPharmacist Brooklyn, NY NPI 1083882195

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NPI record

NPI: 1629093273
Entity type: Organization (Type 2)
Issued: Jul 13, 2006
Last updated: Nov 9, 2007
Status: Active
Subpart: Yes of The Great Atlantic and Pacific Tea Company Inc

Other names

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Waldbaums Pharmacy · doing business as

Authorized official

Susan Kijowski
Pharmacy Specialist
(201) 571-8326

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629093273

Waldbaum Inc's National Provider Identifier is 1629093273, issued on Jul 13, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Brooklyn, NY. The record was last updated on Nov 9, 2007.