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Organization
MERCY HEALTH SERVICES, LLC
Active
Organization
MERCY HEALTH SERVICES, LLC
Active
Parent organization
MHM SUPPORT SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MHM SUPPORT SERVICES
Authorized official
PATRICK BERRY (EXEC DIR-RETAIL PHARMACY SVCS)
(314) 628-5606
Entity
Organization
Contact information
Practice address
621 S NEW BALLAS RD, SUITE #20A, SAINT LOUIS, MO 63141-8232
(314) 251-7444
Mailing address
621 S NEW BALLAS RD, SUITE #20A, SAINT LOUIS, MO 63141-8232
(314) 251-7444
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2002001524
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2605852
NCPDP
MO
05
—
600567416
—
MO
Enumeration date
11/03/2005
Last updated
11/10/2017
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