# MERCY HEALTH-ST RITAS MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MERCY HEALTH-ST RITAS OUTPT PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114695459
- **Authorized official:** KIMBERLY M RALSTON (DIRECTOR PAYOR CREDENTIALING)
- **Authorized official phone:** (419) 996-5119

## Contact information

- **Practice address:** 730 W MARKET ST, LIMA, OH 45801-4602
- **Practice address phone:** (419) 995-4949
- **Mailing address:** PO BOX 636372, CINCINNATI, OH 45263-6372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | — | Yes |
| 3336C0002X | Clinic Pharmacy | — | — | — |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |
| 3336S0011X | Specialty Pharmacy | — | — | — |

## Other

- **Enumeration date:** 09/01/2021
- **Last updated:** 12/16/2021