Organization
MERCY PHARMACY SERVICES, LLC
Active
Other names
Mercy Pharmacy Ardmore
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG MALCOLM PHARMD, MHA (VICE PRESIDENT)
(303) 813-5532
Entity
Organization
Contact information
Practice address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 220-6250
(580) 220-6251
Mailing address
14528 S OUTER 40 RD, CHESTERFIELD, MO 63017-5785
(314) 628-5627
(580) 220-6251
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12-7475
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100262320
—
OK
01
—
2152488
PK
—
Enumeration date
05/26/2015
Last updated
01/26/2026
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