Organization
OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.
Active
Parent organization
OUR LADY OF LOURDES MEMORIAL HOSPITAL INC
Other names
Lourdes Retail Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUR LADY OF LOURDES MEMORIAL HOSPITAL INC
Authorized official
SHAYNE WILCOX (DIRECTOR, COMMUNITY PHARMACY)
(607) 798-5911
Entity
Organization
Contact information
Practice address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(607) 798-5944
(607) 798-5972
Mailing address
169 RIVERSIDE DR, RETAIL PHARMACY, BINGHAMTON, NY 13905-4246
(607) 798-5944
(607) 798-5972
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
023594
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01909851
—
NY
01
—
2063510
PK
—
Enumeration date
06/12/2006
Last updated
06/18/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up