# MERCY HEALTH-REGIONAL MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercy Health Lorain Outpatient Pharmacy, Harness Health Pharmacy \#170
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942718713
- **Authorized official:** KIMBERLY RALSTON (VP REIMBURSEMENT)
- **Authorized official phone:** (419) 996-5119

## Contact information

- **Practice address:** 3600 KOLBE RD STE 102, LORAIN, OH 44053-1652
- **Practice address phone:** (419) 555-5555
- **Practice address fax:** (440) 960-4509
- **Mailing address:** PO BOX 636409, CINCINNATI, OH 45263-6409
- **Mailing address phone:** (419) 555-5555
- **Mailing address fax:** (844) 819-1196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PMY.022819500-0 | OH | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 01/16/2018
- **Last updated:** 05/30/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2175303 | PK | — |