Organization
MERCY HOSPITAL SPRINGFIELD
Active
Other names
Mercy Pharmacy Evans Road
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
3050 E RIVER BLUFF BLVD, OZARK, MO 65721-8807
(417) 885-3357
(417) 885-3363
Mailing address
3050 E RIVER BLUFF BLVD, OZARK, MO 65721-8807
(417) 885-3357
(417) 885-3363
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2013030087
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141064
PK
—
Enumeration date
08/22/2013
Last updated
11/01/2017
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