Organization
MERCY FAMILY PHARMACY
Active
Other names
MERCY FAMILY PHARMACY-CASCADE
Organization subpart
No
Provider details
NPI number
Authorized official
KAY TAKES (PRESIDENT)
(563) 589-8061
Entity
Organization
Contact information
Practice address
805 JOHNSON ST SW, CASCADE, IA 52033-8636
(563) 852-7757
(563) 852-7758
Mailing address
805 JOHNSON ST SW, CASCADE, IA 52033
(563) 852-7757
(563) 852-7758
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1047
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214874
—
IA
01
—
2029731
PK
—
Enumeration date
10/07/2006
Last updated
11/22/2019
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