Organization
MERCY HOSPITAL SPRINGFIELD
Active
Other names
Mercy Pharmacy-Lebanon
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK BERRY (EXEC DIR-RETAIL PHARMACY SVCS)
(314) 628-5606
Entity
Organization
Contact information
Practice address
200 HOSPITAL DR, LEBANON, MO 65536-9215
(417) 533-6770
(417) 533-6777
Mailing address
200 HOSPITAL DR, LEBANON, MO 65536-9215
(417) 533-6770
(417) 533-6777
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
006619
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2049004
PK
—
05
—
600095004
—
MO
Enumeration date
05/28/2006
Last updated
11/01/2017
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