Organization
MERCY HOSPITAL SPRINGFIELD
Active
Other names
Mercy Pharmacy-St James
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK BERRY (CHIEF OPERATING OFFICER)
(314) 628-5606
Entity
Organization
Contact information
Practice address
105 W ELDON ST, SAINT JAMES, MO 65559-1903
(573) 265-8901
(573) 265-8310
Mailing address
105 W ELDON ST, SAINT JAMES, MO 65559-1903
(573) 265-8901
(573) 265-8310
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2011020757
MO
333600000X
Pharmacy
Primary
2011020757
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2627074
NCPDP #
MO
05
—
600243901
—
MO
Enumeration date
06/18/2006
Last updated
11/01/2017
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