# HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Healthdirect Institutional Pharmacy Services, Inc. \#118
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619488442
- **Authorized official:** DEBRA V BARBER (DIRECTOR OF PBM RELATIONS)
- **Authorized official phone:** (315) 287-3600

## Contact information

- **Practice address:** 13700 W NATIONAL AVE, NEW BERLIN, WI 53151-9521
- **Practice address phone:** (262) 797-4610
- **Practice address fax:** (262) 797-4615
- **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 | 9482-42 | WI | Yes |

## Other

- **Enumeration date:** 10/19/2017
- **Last updated:** 10/19/2017