Organization
MERRILL CORPORATION
Active
Other names
MERRILLCARE
Organization subpart
No
Provider details
NPI number
Authorized official
MARC MERRILL RPH (PRESIDENT)
(574) 255-1835
Entity
Organization
Contact information
Practice address
610 N MAIN ST, MISHAWAKA, IN 46545-6620
(574) 255-1835
(574) 968-0108
Mailing address
610 N MAIN ST, MISHAWAKA, IN 46545-6620
(574) 255-1835
(574) 968-0108
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
60006042
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090500A
—
IN
01
—
1561403
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/26/2007
Last updated
01/16/2013
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