# MERCY HOSPITAL SPRINGFIELD

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

## Provider details

- **NPI number:** 1982644514
- **Authorized official:** MR. PATRICK BERRY (EXEC DIR-RETAIL PHARMACY SVCS)
- **Authorized official phone:** (314) 628-5606

## Contact information

- **Practice address:** 1965 S FREMONT AVE, SUITE 140, SPRINGFIELD, MO 65804-2201
- **Practice address phone:** (417) 820-3577
- **Practice address fax:** (417) 820-3578
- **Mailing address:** 1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
- **Mailing address phone:** (417) 820-2754
- **Mailing address fax:** (417) 820-7788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 006618 | MO | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 11/03/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2620284 | NABP | MO |
| 05 | — | 601847809 | — | MO |