Organization
WJG MULTISPECIALTY CLINIC PC
Active
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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