Organization
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER
Active
Other names
CHAMPLAIN VALLEY PHYSICIANS MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LEBEAU (PRESIDENT/COO)
(518) 562-7055
Entity
Organization
Contact information
Practice address
214 CORNELIA ST, PLATTSBURGH, NY 12901-2317
(518) 562-7155
(518) 562-7183
Mailing address
75 BEEKMAN ST, PLATTSBURGH, NY 12901-1438
(518) 562-7557
(518) 562-7183
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
011772
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00318814
—
NY
01
—
2063511
PK
—
Enumeration date
07/22/2006
Last updated
02/21/2024
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