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Organization

MERCY HEALTH YOUNGSTOWN LLC

Active
Other names
MERCY HEALTH YOUNGSTOWN OUTPATIENT PHARMACY, Harness Health Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY RALSTON (SYSTEM DIRECTOR)
(419) 996-5119
Entity
Organization

Contact information

Practice address
1044 BELMONT AVE, PARK AVE LOBBY, YOUNGSTOWN, OH 44504-1006
(330) 480-3804
(330) 480-3012
Mailing address
PO BOX 639922, CINCINNATI, OH 45263-9922
(330) 480-3804
(330) 480-3012

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
021423800
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2079721
PK
05
2475049
OH
Enumeration date
03/09/2007
Last updated
01/26/2022
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