National Provider Identifier Database

MOSES LUDINGTON HOSPITAL PHARMACY
Critical Access


Contact Information

MOSES LUDINGTON HOSPITAL PHARMACY
1019 WICKER STREET
TICONDEROGA, NY12883
Phone: 518-585-3755
Fax: 518-585-3826
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Long Term Care Pharmacy 3336L0003X

* Indicates primary specialty

NPI Profile & details for MOSES LUDINGTON HOSPITAL PHARMACY

NPI Number 1023182813
Legal business name
LBN
MOSES LUDINGTON HOSPITAL PHARMACY
Authorized official KEVIN HAUGHNEY - (CEO/CFO)
Entity Organization
Organization subpart No
Enumeration date 11/20/2006
Last updated 07/23/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 017293
  • NY License #: 17293
  • NY Medicaid: 00360930
  • Other: 3373494 NABP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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