Organization
HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.
Active
Other names
Healthdirect Institutional Pharmacy Services, Inc. #60
Organization subpart
No
Provider details
NPI number
Authorized official
LISA L WEIR (THIRD PARTY ADMINISTRATOR)
(315) 287-3600
Entity
Organization
Contact information
Practice address
515 STEWART DR, N SYRACUSE, NY 13212-3417
(315) 214-6457
(866) 220-7384
Mailing address
29 E MAIN ST, GOUVERNEUR, NY 13642-1401
(315) 287-3600
(315) 287-4291
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
027752
NY
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02735853
—
NY
01
—
3350357
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/24/2006
Last updated
04/25/2014
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