Organization
OUR LADY OF LOURDES MEMORIAL HOSPITAL INC
Active
Parent organization
OUR LADY OF LOURDES MEMORIAL HOSPITAL INC
Other names
Lourdes Pharmacy Johnson City
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUR LADY OF LOURDES MEMORIAL HOSPITAL INC
Authorized official
SHAYNE WILCOX PHARM D (OUTPATIENT PHARMACY MANAGER)
(607) 798-5911
Entity
Organization
Contact information
Practice address
501 REYNOLDS RD, JOHNSON CITY, NY 13790-1311
(607) 798-5533
(607) 798-5534
Mailing address
501 REYNOLDS RD, JOHNSON CITY, NY 13790-1311
(607) 798-5533
(607) 798-5534
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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