Organization
MERCY HOSPITAL SPRINGFIELD
Active
Other names
Mercy Pharmacy-Nixa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK BERRY (EXEC DIR-RETAIL PHARMACY SVCS)
(314) 628-5606
Entity
Organization
Contact information
Practice address
940 WEST MT. VERNON, SUITE 130, NIXA, MO 65714
(417) 724-5350
(417) 724-5354
Mailing address
1235 E CHEROKEE ST, ATTN: ROB SHOCKLEY, SPRINGFIELD, MO 65804-2203
(417) 820-6624
(417) 820-7788
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2005012026
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606198406
—
MO
Enumeration date
06/08/2006
Last updated
11/03/2017
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