Organization · Type 2 NPI

Waldbaum Inc

Pharmacy · East Meadow, NY

NPI number 1811912462 Active

Practice location

1530 Front St
East Meadow, NY 11554-2241

Fax (516) 483-3321

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	023776 (NY)
Pharmacy Primary	333600000X	023776 (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…

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NPI record

NPI: 1811912462
Entity type: Organization (Type 2)
Issued: Jul 13, 2006
Last updated: Nov 15, 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 1811912462

Waldbaum Inc's National Provider Identifier is 1811912462, issued on Jul 13, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in East Meadow, NY. The record was last updated on Nov 15, 2007.