Organization
MERCY FAMILY PHARMACY
Active
Organization
MERCY FAMILY PHARMACY
Active
Other names
Mercy Medical Center Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KAY TAKES (PRESIDENT/CEO)
(563) 589-8061
Entity
Organization
Contact information
Practice address
1410 N 4TH STREET, MERCY MEDICAL CENTER CLINTON, CLINTON, IA 52732
(563) 244-5555
(563) 244-5568
Mailing address
250 MERCY DRIVE, DUBUQUE, IA 52001
(563) 589-9808
(563) 244-5568
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
964
IA
3336C0003X
Community/Retail Pharmacy
Primary
964
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007757750
—
IA
01
—
1610939
NCPDP
—
Enumeration date
02/15/2007
Last updated
04/24/2020
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