# MERCY HOSPITAL ADA PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MERCY
- **Other names:** Mercy Hospital Ada, Inc.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992134852
- **Legal business name:** MERCY
- **Authorized official:** MR. SIDNEY MICHAEL O'GRADY D.PH. (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (580) 421-1508

## Contact information

- **Practice address:** 430 N MONTE VISTA ST, ADA, OK 74820-4610
- **Practice address phone:** (580) 421-1508
- **Practice address fax:** (580) 421-6035
- **Mailing address:** 430 N MONTE VISTA AVE, ADA, OK 74820-4610
- **Mailing address phone:** (580) 421-1508
- **Mailing address fax:** (580) 421-6035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | 23-6325 | OK | Yes |

## Other

- **Enumeration date:** 11/01/2013
- **Last updated:** 11/01/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3703368 | NCPDP | OK |