Organization
MERCY HEALTH SYSTEM CORPORATION
Active
Parent organization
MERCY HEALTH CORPORATION
Other names
MERCY EAST PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HEALTH CORPORATION
Authorized official
JOSEPH D MALAS (CFO)
(815) 971-6738
Entity
Organization
Contact information
Practice address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 754-5194
(608) 756-8496
Mailing address
1010 N WASHINGTON ST, JANESVILLE, WI 53548-1561
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
7648
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33220100
—
WI
01
—
5101302
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/22/2006
Last updated
06/17/2025
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