Organization
MERCY HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK BERRY (EXEC DIR-RETAIL PHARMACY SVCS)
(314) 628-5606
Entity
Organization
Contact information
Practice address
851 E 5TH ST, SUITE #104, WASHINGTON, MO 63090-3135
(636) 390-7333
(363) 390-7355
Mailing address
851 E 5TH ST, SUITE #104, WASHINGTON, MO 63090-3135
(636) 390-7333
(363) 390-7355
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2003027642
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2635297
NCPDP
MO
05
—
600567416
—
MO
Enumeration date
11/03/2005
Last updated
11/10/2017
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