# HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Healthdirect Institutional Pharmacy Services, Inc. \#60
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982711164
- **Authorized official:** LISA L WEIR (THIRD PARTY ADMINISTRATOR)
- **Authorized official phone:** (315) 287-3600

## Contact information

- **Practice address:** 515 STEWART DR, N SYRACUSE, NY 13212-3417
- **Practice address phone:** (315) 214-6457
- **Practice address fax:** (866) 220-7384
- **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 |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 027752 | NY | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 04/25/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02735853 | — | NY |
| 01 | — | 3350357 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |