Organization
MERCY PHARMACY SERVICES, LLC
Active
Other names
MERCY PHARMACY NIXA
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG MALCOLM PHARMD, MHA (VICE PRESIDENT)
(303) 813-5532
Entity
Organization
Contact information
Practice address
940 W MOUNT VERNON ST STE 130, NIXA, MO 65714-9613
(417) 724-5340
(417) 724-5354
Mailing address
14528 S OUTER 40 RD STE 100, CHESTERFIELD, MO 63017-5743
(314) 628-5627
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2017027475
MS
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606198406
—
MO
Enumeration date
08/23/2017
Last updated
01/26/2026
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