Organization
MERCY HEALTH SERVICES LLC
Active
Organization
MERCY HEALTH SERVICES LLC
Active
Parent organization
MERCY HEALTH SERVICES LLC
Other names
Mercy Home Infusion
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HEALTH SERVICES LLC
Authorized official
MR. ROBERT DENNIS STREET MBA, RPH (PHARMACST-IN-CHARGE)
(314) 506-6149
Entity
Organization
Contact information
Practice address
13185 LAKEFRONT DR, SUITE 120, EARTH CITY, MO 63045-1510
(314) 506-6050
(314) 506-6284
Mailing address
13185 LAKEFRONT DR, SUITE 120, EARTH CITY, MO 63045-1510
(314) 506-6050
(314) 506-6284
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
006006
MO
251F00000X
Home Infusion Agency
—
—
3336S0011X
Specialty Pharmacy
006006
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
608291704
—
MO
Enumeration date
10/25/2006
Last updated
12/02/2016
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