Organization
MERCY PROFESSIONAL PHARMACY
Active
Parent organization
MERCY MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY MEDICAL CENTER
Authorized official
MR. FRANK C REALE RPH (PHARMACIST MANAGER)
(330) 489-1400
Entity
Organization
Contact information
Practice address
1330 MERCY DR NW, CANTON, OH 44708-2626
(330) 489-1400
(330) 489-1175
Mailing address
1330 MERCY DR NW, CANTON, OH 44708-2626
(330) 489-1400
(330) 489-1175
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
02-114250
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0405976
—
OH
Enumeration date
10/11/2006
Last updated
02/01/2012
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