# MERCY HEALTH-REGIONAL MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MERCY HEALTH LORAIN OUTPATIENT PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932866803
- **Authorized official:** KIMBERLY M RALSTON (SYSTEM DIRECTOR PAYOR ADMIN)
- **Authorized official phone:** (419) 996-5119

## Contact information

- **Practice address:** 3600 KOLBE RD STE 102, LORAIN, OH 44053-1652
- **Practice address phone:** (440) 960-4508
- **Mailing address:** PO BOX 636409, CINCINNATI, OH 45263-6409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/26/2021
- **Last updated:** 11/26/2021