Organization
WJG MULTISPECIALTY CLINIC PC
Active
Other names
LI Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WOODRUFF HALL BAUM (CEO)
(646) 568-0193
Entity
Organization
Contact information
Practice address
625 BROADWAY STE 625A, BANGOR, ME 04401-3375
(207) 605-5593
Mailing address
PO BOX 53302, PHOENIX, AZ 85072-3302
(844) 509-1404
(844) 278-8635
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
01/17/2025
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