Healthcare Provider Details

I. General information

NPI: 1346702206
Provider Name (Legal Business Name): HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2019
Last Update Date: 04/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 LITITZ PIKE
LITITZ PA
17543-9414
US

IV. Provider business mailing address

1 ADLER DR
EAST SYRACUSE NY
13057-1223
US

V. Phone/Fax

Practice location:
  • Phone: 717-560-8822
  • Fax: 717-581-4435
Mailing address:
  • Phone: 888-331-3883
  • Fax: 844-802-2066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: STACEY M KRUTH
Title or Position: VICE PRESIDENT OF FINANCE
Credential:
Phone: 888-331-3883