| NPI | 1184045106 |
|---|---|
| Doing Business As | HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES INC #119 |
| Entity Type | Organization |
| Authorized Contact | LISA L WEIR Third Party Administrator 315-287-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WI 9238-42) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2019-01-15 |