Ira Davenport Memorial Hospital INC

NPI #1659312080 in Bath, New York

Provider Information

NPI Number: 1659312080
Entity Type: Organization
Organization Name: Ira Davenport Memorial Hospital INC
Primary Specialty: Pharmacy - Long Term Care Pharmacy
Enumeration Date: Jun 9, 2006
Last Updated: Mar 4, 2019

Practice Location

Address: 7571 STATE ROUTE 54
City: Bath
State: New York
ZIP Code: 14810-9504
Phone: (607) 776-8500

Authorized Official

Name: MR. JONATHAN I. LAWRENCE
Title: PRESIDENT & CHIEF EXECUTIVE OFFICER
Phone: (607) 776-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Clinic Pharmacy — Clinic Pharmacy	3336C0002X
Pharmacy - Institutional Pharmacy — Institutional Pharmacy	3336I0012X
Pharmacy	333600000X
Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy	3336L0003X	Primary

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