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
12348 OLD TESSON RD, SUITE 100, SAINT LOUIS, MO 63128-2215
(314) 842-1113
(314) 849-9366
Mailing address
12348 OLD TESSON RD, SUITE 100, SAINT LOUIS, MO 63128-2215
(314) 467-3888
(314) 467-3889
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2002001249
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2624775
NCPDP
MO
05
—
602482200
—
MO
Enumeration date
11/03/2005
Last updated
11/10/2017
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