Organization · Type 2 NPI

Ira Davenport Memorial Hospital Inc

Long Term Care Pharmacy · Bath, NY

NPI number 1659312080 Active

Practice location

7571 State Route 54
Bath, NY 14810-9504

Fax (607) 776-8817

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Clinic Pharmacy	3336C0002X	None listed
Institutional Pharmacy	3336I0012X	None listed
Long Term Care Pharmacy Primary	3336L0003X	014851 (NY)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

35 other providers at this address

NPI record

NPI: 1659312080
Entity type: Organization (Type 2)
Issued: Jun 9, 2006
Last updated: Mar 4, 2019
Status: Active

Other names

<unavail>
Ira Davenport Memorial Hospital Pharmacy · doing business as
Ira Davenport Memorial Hospital Pharmacy · doing business as

Authorized official

Mr. Jonathan I. Lawrence
President & Chief Executive Officer
(607) 776-8500

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1659312080

Ira Davenport Memorial Hospital Inc's National Provider Identifier is 1659312080, issued on Jun 9, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Bath, NY. The record was last updated on Mar 4, 2019.