Our Lady of Lourdes Memorial Hospital INC
NPI #1508576612 in Johnson City, New York
Provider Information
- NPI Number
- 1508576612
- Entity Type
- Organization
- Organization Name
- Our Lady of Lourdes Memorial Hospital INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- OUR LADY OF LOURDES MEMORIAL HOSPITAL INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 29, 2022
- Last Updated
- Nov 29, 2022
Practice Location
- Address
- 501 REYNOLDS RD
- City
- Johnson City
- State
- New York
- ZIP Code
- 13790-1311
- Phone
- (607) 798-5533
Authorized Official
- Name
- SHAYNE WILCOX, PHARM D
- Title
- OUTPATIENT PHARMACY MANAGER
- Phone
- (607) 798-5911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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