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Organization
THE MERCY HOSPITAL INC
Active
Organization
THE MERCY HOSPITAL INC
Active
Other names
The Community Pharmacy at Mercy Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M HARRIS (REGIONAL DIRECTOR OF REIMBURSEMENT)
(860) 714-4396
Entity
Organization
Contact information
Practice address
299 CAREW ST, SPRINGFIELD, MA 01104-2301
(413) 452-6377
(413) 452-6300
Mailing address
299 CAREW STREET, SPRINGFIELD, MA 01104
(413) 452-6377
(413) 452-6300
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
DS89680
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121854
PK
—
Enumeration date
08/04/2009
Last updated
01/29/2020
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