Lourdes Retail Pharmacy
LBN: Our Lady Of Lourdes Memorial Hospital, Inc.
Lourdes Retail Pharmacy is an health care organization with primary practice located at 169 Riverside Dr , Binghamton NY 13905-4246. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Our Lady Of Lourdes Memorial Hospital, Inc. can be contacted via phone (607) 798-5944, or through Wilcox, Shayne via phone (607) 798-5944.
Contact Information
Primary practice address
169 Riverside Dr
Binghamton NY 13905-4246
Phone: (607) 798-5944
Fax: (607) 798-5972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 023594 | New York |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1942242243 |
|---|---|
| LBN Legal business name | Our Lady Of Lourdes Memorial Hospital, Inc. |
| DBA Doing business as | Lourdes Retail Pharmacy |
| Authorized official | Wilcox, Shayne |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Oct 16th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942242243 | NPPES |
| New York | MEDICAID | 01909851 | |
| New York | Other | 2063510 |
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