Organization
OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.
Active
Other names
Guthrie Johnson City Pavilion Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYNE WILCOX (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
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
06/23/2025
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