Organization
MERCURY PHARMACY SERVICES INC
Active
Other names
Mercury Pharmacy Services INC, Mercury Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN LAWRENCE BOULANGER RPH (PHARMACIST IN CHARGE)
(425) 673-5200
Entity
Organization
Contact information
Practice address
22316 70TH AVE W STE E, MOUNTLAKE TERRACE, WA 98043-2184
(425) 673-5200
(425) 673-5230
Mailing address
22316 70TH AVE W STE E5, MOUNTLAKE TERRACE, WA 98043-2184
(425) 673-5200
(425) 673-5230
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4925321
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6024343
—
WA
01
—
PHARCF60832484
PHARMACY LICENSE
WA
Enumeration date
01/30/2007
Last updated
09/18/2025
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