Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MERCY HEALTH SYSTEM CORPORATION
Active
Organization
MERCY HEALTH SYSTEM CORPORATION
Active
Other names
Mercy Mall LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN SHADEL (DIRECTOR OF RETAIL SERVICES)
(608) 755-8787
Entity
Organization
Contact information
Practice address
1010 N WASHINGTON ST STE 107, JANESVILLE, WI 53548-1500
(608) 755-4196
(608) 755-8710
Mailing address
1010 N WASHINGTON ST, SUITE 107, JANESVILLE, WI 53548-1500
(608) 755-4196
(608) 755-8710
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
9068
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639460736
—
WI
01
—
5132597
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/22/2011
Last updated
10/12/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers