Waltz Pharmacy, Inc

LBN: Waltz Pharmacy, Inc
Waltz Pharmacy, Inc is an health care organization with primary practice located at 5 Friendship St , Waldoboro ME 04572. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Waltz Pharmacy, Inc can be contacted via phone (207) 832-5511, or through Jacobs, Dean via phone (866) 415-1954.

Contact Information

Primary practice address
5 Friendship St Waldoboro ME 04572
Phone: (207) 832-5511
Fax: (207) 832-8130
Website:
Map and Directions
Authorized official contact:
Name: Jacobs, Dean RPH
Phone: (866) 415-1954

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Maine
Suppliers / Community/Retail Pharmacy 3336C0003X PH50001073 Maine

Profile Details

NPI number 1285792655
LBN Legal business name Waltz Pharmacy, Inc
DBA Doing business as
Authorized official Jacobs, Dean RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated Nov 3rd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285792655 NPPES
Maine Other 2002258 NABP#
Maine MEDICAID 101460008 NABP#

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