# MERCY HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508857996
- **Authorized official:** PATRICK BERRY (EXEC DIR-RETAIL PHARMACY SVCS)
- **Authorized official phone:** (314) 628-5606

## Contact information

- **Practice address:** 851 E 5TH ST, SUITE \#104, WASHINGTON, MO 63090-3135
- **Practice address phone:** (636) 390-7333
- **Practice address fax:** (363) 390-7355
- **Mailing address:** 851 E 5TH ST, SUITE \#104, WASHINGTON, MO 63090-3135
- **Mailing address phone:** (636) 390-7333
- **Mailing address fax:** (363) 390-7355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 2003027642 | MO | Yes |

## Other

- **Enumeration date:** 11/03/2005
- **Last updated:** 11/10/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2635297 | NCPDP | MO |
| 05 | — | 600567416 | — | MO |