Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Access |
282NC0060X | A0[7] | Critical Access Hospital | |
Long Term Care Pharmacy |
3336L0003X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1023182813 |
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| LBN Legal business name | MOSES LUDINGTON HOSPITAL PHARMACY | ||||||||||||||||
| Authorized official | KEVIN HAUGHNEY - (CEO/CFO) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 11/20/2006 | ||||||||||||||||
| Last updated | 07/23/2008 - About 18 years ago | ||||||||||||||||
| Identifiers |
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