Organization
MERCY HEALTH SYSTEM CORPORATION
Active
Parent organization
MERCY HEALTH CORPORATION
Other names
MERCY WOODSTOCK PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HEALTH CORPORATION
Authorized official
JOSPEH D MALAS (CFO)
(815) 971-6738
Entity
Organization
Contact information
Practice address
2000 LAKE AVE, WOODSTOCK, IL 60098-7401
(815) 337-4116
(815) 337-4795
Mailing address
1010 N WASHINGTON ST, JANESVILLE, WI 53548-1561
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
54014068
IL
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1470361
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/03/2006
Last updated
06/17/2025
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