Organization
MERCY HOSPITAL SPRINGFIELD
Active
Other names
Mercy Pharmacy-Rolla
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK BERRY (EXEC DIR-RETAIL PHARMACY SVCS)
(314) 628-5606
Entity
Organization
Contact information
Practice address
1605 MARTIN SPRINGS DR STE 220, ROLLA, MO 65401-2980
(573) 458-6433
(573) 458-6441
Mailing address
1605 MARTIN SPRINGS DR, SUITE 220, ROLLA, MO 65401-2931
(573) 458-6433
(573) 458-6441
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2006022821
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2637114
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
606187300
—
MO
Enumeration date
09/21/2006
Last updated
11/01/2017
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