Organization
MERCY PHARMACY SERVICES LLC
Active
Other names
Mercy Pharmacy Kennerly
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG MALCOLM PHARMD, MHA (VICE PRESIDENT)
(303) 813-5532
Entity
Organization
Contact information
Practice address
10010 KENNERLY RD FL 1, SAINT LOUIS, MO 63128-2106
(314) 525-1633
(314) 525-1634
Mailing address
14528 S OUTER 40 RD, CHESTERFIELD, MO 63017-5785
(314) 628-5627
(314) 525-1634
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336I0012X
Institutional Pharmacy
000328
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2049665
PK
—
Enumeration date
04/20/2007
Last updated
01/26/2026
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