| NPI | 1871672469 |
|---|---|
| Doing Business As | WALTZ LONG TERM CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | COURTNEY OLAND President 207-373-9077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: ME CSP50001564) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2017-02-13 |