Organization
MERCY HEALTH SERVICES LLC
Active
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
607 S NEW BALLAS RD, SUITE 1415, SAINT LOUIS, MO 63141-8219
(314) 251-5478
(314) 251-6375
Mailing address
607 S NEW BALLAS RD, SUITE 1415, SAINT LOUIS, MO 63141-8219
(314) 251-5478
(314) 251-6375
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
R4C88
MO
3336S0011X
Specialty Pharmacy
Primary
2014005811
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316908403
—
MO
01
—
2637633
NCPDP
—
Enumeration date
03/29/2006
Last updated
03/07/2023
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