# MERCY MEDICAL PARTNERS NORTHERN REGION LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercy Defiance Clinic Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942213269
- **Authorized official:** MICHELLE INKROTT (PHARMACY MANAGER)
- **Authorized official phone:** (419) 783-3376

## Contact information

- **Practice address:** 1400 E 2ND ST, DEFIANCE, OH 43512-2440
- **Practice address phone:** (419) 783-3376
- **Practice address fax:** (419) 783-3378
- **Mailing address:** 1400 E 2ND ST, DEFIANCE, OH 43512-2440
- **Mailing address phone:** (419) 783-3376
- **Mailing address fax:** (419) 783-3378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | RTP022169900 | OH | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 03/29/2016