Organization
MERCY HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK BERRY (EXEC DIR-RETAIL PHARMACY SVCS)
(314) 628-5606
Entity
Organization
Contact information
Practice address
1400 US HIGHWAY 61, STE G38, FESTUS, MO 63028-4100
(636) 933-1600
(314) 933-1423
Mailing address
1400 US HIGHWAY 61, STE G38, FESTUS, MO 63028-4100
(636) 933-1600
(636) 933-1428
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
005501
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2628610
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
606681708
—
MO
Enumeration date
06/19/2006
Last updated
11/10/2017
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