Organization
HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.
Active
Other names
Healthdirect Institutional Pharmacy Services, Inc. #05
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY KRUTH (VP FINANCE)
(315) 778-7651
Entity
Organization
Contact information
Practice address
29 E MAIN ST, GOUVERNEUR, NY 13642-1401
(315) 287-5002
(315) 287-7099
Mailing address
29 E MAIN ST, GOUVERNEUR, NY 13642-1401
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
013565
NY
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00561940
—
NY
01
—
3342994
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/25/2006
Last updated
04/30/2019
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