# HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC. \#119
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033539507
- **Authorized official:** DEBBI BARBER (DIRECTOR OF PBM RELATIONS)
- **Authorized official phone:** (315) 287-3600

## Contact information

- **Practice address:** 29 E MAIN ST, GOUVERNEUR, NY 13642-1401
- **Practice address phone:** (315) 287-3600
- **Practice address fax:** (315) 287-4291
- **Mailing address:** 2840 21ST PL S, LA CROSSE, WI 54601-7302
- **Mailing address phone:** (608) 784-6500
- **Mailing address fax:** (608) 784-6504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 9238-42 | WI | — |
| 3336L0003X | Long Term Care Pharmacy | 9238-42 | WI | Yes |

## Other

- **Enumeration date:** 04/23/2014
- **Last updated:** 12/30/2014