Organization
MERCY PHARMACY SERVICES, LLC
Active
Other names
MERCY PHARMACY FREMONT
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG MALCOLM PHARMD, MHA (VICE PRESIDENT)
(303) 813-5532
Entity
Organization
Contact information
Practice address
1965 S FREMONT AVE STE 140, SPRINGFIELD, MO 65804-2216
(417) 820-3577
(417) 820-3578
Mailing address
14528 S OUTER 40 RD STE 100, CHESTERFIELD, MO 63017-5743
(314) 628-5627
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2017027476
MO
333600000X
Pharmacy
—
MO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2620284
NABP
MO
05
—
601847809
—
MO
Enumeration date
08/23/2017
Last updated
01/26/2026
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