# MERCY HOSPITAL SPRINGFIELD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercy Pharmacy-St Robert
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659328268
- **Authorized official:** MR. PATRICK BERRY (EXEC DIR-RETAIL PHARMACY SVCS)
- **Authorized official phone:** (314) 628-5606

## Contact information

- **Practice address:** 586 OLD ROUTE 66, ST ROBERT, MO 65584-3729
- **Practice address phone:** (573) 336-2180
- **Practice address fax:** (573) 336-3529
- **Mailing address:** 586 OLD ROUTE 66, PO BOX 1170, ST ROBERT, MO 65584-3729
- **Mailing address phone:** (573) 336-2180
- **Mailing address fax:** (573) 336-3529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 2011020756 | MO | — |
| 333600000X | Pharmacy | 2011020756 | MO | Yes |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 11/01/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2634815 | NCPDP \# | MO |
| 05 | — | 605986702 | — | MO |