Organization · Type 2 NPI

Healthdirect Institutional Pharmacy Services, Inc.

Long Term Care Pharmacy · Gouverneur, NY

NPI number 1972610699 Active

Practice location

29 E Main St
Gouverneur, NY 13642-1401

Fax (315) 287-7099

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	013565 (NY)
Community/Retail Pharmacy	3336C0003X	None listed
Long Term Care Pharmacy Primary	3336L0003X	None listed

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.

11 other providers at this address

Other long term care pharmacy providers in Gouverneur

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NPI record

NPI: 1972610699
Entity type: Organization (Type 2)
Issued: Aug 25, 2006
Last updated: Apr 30, 2019
Status: Active

Other names

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Healthdirect Institutional Pharmacy Services, Inc. #05 · doing business as
Healthdirect Institutional Pharmacy Services, Inc. #05 · doing business as

Authorized official

Stacey Kruth
VP Finance
(315) 778-7651

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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 1972610699

Healthdirect Institutional Pharmacy Services, Inc.'s National Provider Identifier is 1972610699, issued on Aug 25, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Gouverneur, NY. The record was last updated on Apr 30, 2019.