# 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:** 1184045106
- **Authorized official:** LISA L WEIR (THIRD PARTY ADMINISTRATOR)
- **Authorized official phone:** (315) 287-3600

## Contact information

- **Practice address:** 1721 MILLER ST, LA CROSSE, WI 54601-5217
- **Practice address phone:** (608) 784-6500
- **Practice address fax:** (608) 784-6504
- **Mailing address:** 29 E MAIN ST, GOUVERNEUR, NY 13642-1401
- **Mailing address phone:** (315) 287-3600
- **Mailing address fax:** (315) 287-4291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 9238-42 | WI | Yes |

## Other

- **Enumeration date:** 12/17/2013
- **Last updated:** 01/15/2019