Organization
MERCY HEALTH-ST RITAS MEDICAL CENTER LLC
Active
Other names
Mercy Health Lima Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TIM RIEGER (SYSTEM DIRECTOR, RETAIL PHARMACY)
(419) 226-9775
Entity
Organization
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 995-4949
(419) 996-4979
Mailing address
PO BOX 636372, CINCINNATI, OH 45263-6372
(419) 995-4949
(419) 996-4979
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RTP.022641200-0
OH
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164174
PK
—
Enumeration date
09/20/2016
Last updated
01/13/2022
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