| NPI | 1790025989 |
|---|---|
| Doing Business As | HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC. #114 |
| Entity Type | Organization |
| Authorized Contact | LISA L WEIR Third Party Administrator 315-287-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NH 0792-P) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2014-03-13 |