Organization
MERCY FAMILY PHARMACY
Active
Other names
MERCY CAREMOR
Organization subpart
No
Provider details
NPI number
Authorized official
KAY TAKES (PRESIDENT)
(563) 589-8061
Entity
Organization
Contact information
Practice address
535 HILL ST, STE B, DUBUQUE, IA 52001-6678
(563) 588-4033
(563) 588-4044
Mailing address
535 HILL ST, STE D, DUBUQUE, IA 52001-6678
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
94
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214890
—
IA
01
—
1617072
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/10/2006
Last updated
11/22/2019
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