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Organization

MERCY HOSPITAL SPRINGFIELD

Active
Other names
Mercy Pharmacy-St Robert
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PATRICK BERRY (EXEC DIR-RETAIL PHARMACY SVCS)
(314) 628-5606
Entity
Organization

Contact information

Practice address
586 OLD ROUTE 66, ST ROBERT, MO 65584-3729
(573) 336-2180
(573) 336-3529
Mailing address
586 OLD ROUTE 66, PO BOX 1170, ST ROBERT, MO 65584-3729
(573) 336-2180
(573) 336-3529

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
2011020756
MO
333600000X
Pharmacy
Primary
2011020756
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2634815
NCPDP #
MO
05
605986702
MO
Enumeration date
05/28/2006
Last updated
11/01/2017
About Stedi
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