Pittsfield Pharmacy

LBN: Waltz Pharmacy, Inc
Pittsfield Pharmacy is an health care organization with primary practice located at 166 North Main Street , Pittsfield ME 04967. 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) 487-5424, or through Jacobs, Dean via phone (207) 230-1053.

Contact Information

Primary practice address
166 North Main Street Pittsfield ME 04967
Fax: (207) 487-5626
Website:
Authorized official contact:
Name: Jacobs, Dean RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Maine
Suppliers / Community/Retail Pharmacy 3336C0003X PH50001224 Maine

Profile Details

NPI number 1851459465
LBN Legal business name Waltz Pharmacy, Inc
DBA Doing business as Pittsfield Pharmacy
Authorized official Jacobs, Dean RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 5th, 2006
Last updated Jul 24th, 2007 - about 19 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 1851459465 NPPES
Maine Other 003012 ANTHEM HME PROVIDER #
Maine Other 2006915 ANTHEM HME PROVIDER #

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