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Organization

MERCY HEALTH SERVICES-IOWA CORP.

Active
Other names
MEDICAL ARTS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
LEMAN OLSON (MANAGER)
(641) 422-7917
Entity
Organization

Contact information

Practice address
116 E 11TH ST, SPENCER, IA 51301-4364
(712) 262-2343
(712) 262-1716
Mailing address
116 E 11TH ST, SPENCER, IA 51301-4364
(712) 262-2343
(712) 262-1716

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
620
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0084194
IA
01
1612159
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
08/31/2006
Last updated
10/04/2011
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