Organization
OUR LADY OF LOURDES MEMORIAL HOSPITAL INC
Active
Parent organization
OUR LADY OF LOURDES MEMORIAL HOSPITAL INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUR LADY OF LOURDES MEMORIAL HOSPITAL INC
Authorized official
THOMAS JOHN FORREST R.PH. (OUTPATIENT PHARMACY/ 340B DIRECTOR)
(607) 798-5944
Entity
Organization
Contact information
Practice address
17 CHENANGO BRIDGE RD, BINGHAMTON, NY 13901-1233
(607) 798-5500
(607) 798-5501
Mailing address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4198
(607) 798-5004
(607) 798-5972
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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