# DIGNITY HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIGNITY HEALTH
- **Other names:** Mercy Mt. Shasta Inpatient Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1659491389
- **Legal business name:** DIGNITY HEALTH
- **Authorized official:** KIM MIRANDA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (530) 225-6121

## Contact information

- **Practice address:** 914 PINE ST, MOUNT SHASTA, CA 96067-2143
- **Practice address phone:** (530) 926-6111
- **Practice address fax:** (530) 225-7278
- **Mailing address:** 914 PINE ST, MOUNT SHASTA, CA 96067-2143
- **Mailing address phone:** (530) 926-6111
- **Mailing address fax:** (530) 225-7278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | HSP45527 | CA | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 06/10/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0596657 | NCPDP | — |
| 05 | — | PHB331890 | — | CA |