Organization
MERCY PHARMACY SERVICES, LLC
Active
Other names
Mercy Pharmacy Lebanon
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG MALCOLM PHARMD, MHA (VICE PRESIDENT)
(303) 813-5532
Entity
Organization
Contact information
Practice address
200 HOSPITAL DR, LEBANON, MO 65536-9215
(417) 533-6770
Mailing address
14528 S OUTER 40 RD STE 100, CHESTERFIELD, MO 63017-5743
(314) 628-5627
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2017027482
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2049004
PK
—
05
—
600095004
—
MO
Enumeration date
08/25/2017
Last updated
01/26/2026
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