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Organization

MERCY HEALTH SYSTEM CORPORATION

Active
Parent organization
MERCY HEALTH CORPORATION
Other names
MERCY MALL PHARMACY
Organization subpart
Yes

Provider details

NPI number
Legal business name
MERCY HEALTH CORPORATION
Authorized official
SHANNON DUNPHY-ALEXANDER (CFO)
(608) 757-3126
Entity
Organization

Contact information

Practice address
1010 N WASHINGTON ST, SUITE 105, JANESVILLE, WI 53548-1561
(608) 754-0286
(608) 754-0027
Mailing address
1010 N WASHINGTON ST STE 105, JANESVILLE, WI 53548-1500
(608) 754-0286

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
7720
WI
3336C0003X
Community/Retail Pharmacy
3336M0002X
Mail Order Pharmacy
7720
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33227700
WI
01
5101263
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
06/22/2006
Last updated
03/24/2026
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