Organization
THE MERCY HOSPITAL INC
Active
Other names
The Community Pharmacy at Mercy Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M HARRIS (REGIONAL DIRECTOR OF REIMBURSEMENT)
(860) 714-4396
Entity
Organization
Contact information
Practice address
299 CAREW ST, SPRINGFIELD, MA 01104-2301
(413) 452-6377
(413) 452-6300
Mailing address
299 CAREW STREET, SPRINGFIELD, MA 01104
(413) 452-6377
(413) 452-6300
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
DS89680
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121854
PK
—
Enumeration date
08/04/2009
Last updated
01/29/2020
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