Waltz Pharmacy, Inc
LBN: Waltz Pharmacy, Inc
Waltz Pharmacy, Inc is an health care organization with primary practice located at 167 Main Street , Damariscotta ME 04543-4649. 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) 563-3128, or through Jacobs, Dean via phone (866) 415-1954.
Contact Information
Primary practice address
167 Main Street
Damariscotta ME 04543-4649
Phone: (207) 563-3128
Fax: (207) 563-3063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | Maine | |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH50000057 | Maine |
Profile Details
| NPI number | 1689732034 |
|---|---|
| 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 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689732034 | NPPES |
| Maine | Other | 2001624 | NABP# |
| Maine | MEDICAID | 101460006 | NABP# |
| Maine | Other | 003012 | NABP# |
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