Organization
MOSES LUDINGTON HOSPITAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN P HAUGHNEY (CEO/CFO)
(518) 585-3700
Entity
Organization
Contact information
Practice address
1019 WICKER STREET, TICONDEROGA, NY 12883
(518) 585-3755
(518) 585-3826
Mailing address
1019 WICKER STREET, TICONDEROGA, NY 12883
(518) 585-3755
(518) 585-3826
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
017293
NY
3336L0003X
Long Term Care Pharmacy
17293
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00360930
—
NY
01
—
3373494
NABP
—
Enumeration date
11/20/2006
Last updated
07/23/2008
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