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NPI Code Detail

MEDICARE: HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.

MEDICARE: HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1346702206
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.
Provider Business Mailing Address
First Line : 1 ADLER DR
Second Line :
City : EAST SYRACUSE
State : NY
Zip : 13057-1223
Country : US
Telephone Number : 888-331-3883
Fax Number : 844-802-2066
Provider Business Practice Location Address
First Line : 3001 LITITZ PIKE
Second Line :
City : LITITZ
State : PA
Zip : 17543-9414
Country : US
Telephone Number : 717-560-8822
Fax Number : 717-581-4435
Authorized Official
Title or Position : VICE PRESIDENT OF FINANCE
Name : STACEY M KRUTH
Credential :
Telephone Number : 888-331-3883
Provider Enumeration Date : 04/01/2019
Last Update Date : 04/01/2019

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