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Organization
MERCY HEALTH SERVICES, LLC
Active
Organization
MERCY HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK BERRY (EXEC DIR-RETAIL PHARMACY SVCS)
(314) 628-5606
Entity
Organization
Contact information
Practice address
12680 OLIVE BLVD, SUITE #150, SAINT LOUIS, MO 63141-6322
(314) 251-8989
(314) 251-8988
Mailing address
12680 OLIVE BLVD, SUITE #150, SAINT LOUIS, MO 63141-6322
(314) 251-8989
(314) 251-8988
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2005000851
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2635881
NCPDP
MO
05
—
606186609
—
MO
Enumeration date
11/03/2005
Last updated
11/10/2017
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