# MERCY FAMILY PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MERCY CAREMOR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669569521
- **Authorized official:** KAY TAKES (PRESIDENT)
- **Authorized official phone:** (563) 589-8061

## Contact information

- **Practice address:** 535 HILL ST, STE B, DUBUQUE, IA 52001-6678
- **Practice address phone:** (563) 588-4033
- **Practice address fax:** (563) 588-4044
- **Mailing address:** 535 HILL ST, STE D, DUBUQUE, IA 52001-6678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 94 | IA | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 11/22/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0214890 | — | IA |
| 01 | — | 1617072 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |