Organization
MERCY HEALTH SERVICES, LLC
Active
Parent organization
MHM SUPPORT SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MHM SUPPORT SERVICES
Authorized official
PATRICK BERRY (EXEC DIR-RETAIL PHARMACY SVCS)
(314) 628-5606
Entity
Organization
Contact information
Practice address
621 S NEW BALLAS RD, SUITE #20A, SAINT LOUIS, MO 63141-8232
(314) 251-7444
Mailing address
621 S NEW BALLAS RD, SUITE #20A, SAINT LOUIS, MO 63141-8232
(314) 251-7444
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2002001524
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2605852
NCPDP
MO
05
—
600567416
—
MO
Enumeration date
11/03/2005
Last updated
11/10/2017
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