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Organization

MERCY PHARMACY SERVICES, LLC

Active
Other names
MERCY PHARMACY ROLLA
Organization subpart
No

Provider details

NPI number
Authorized official
DOUG MALCOLM PHARMD, MHA (VICE PRESIDENT)
(303) 813-5532
Entity
Organization

Contact information

Practice address
1605 MARTIN SPRINGS DR STE 220, ROLLA, MO 65401-2980
(573) 458-6433
(573) 458-6441
Mailing address
14528 S OUTER 40 RD STE 100, CHESTERFIELD, MO 63017-5743
(314) 628-5627

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2017027484
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2637114
NCPDP PROVIDER IDENTIFICATION NUMBER
05
606187300
MO
Enumeration date
08/25/2017
Last updated
01/26/2026
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