Organization
MERCY HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK BERRY (EXEC DIR-RETAIL PHARMACY SVCS)
(314) 628-5606
Entity
Organization
Contact information
Practice address
15945 CLAYTON RD, SUITE 140, BALLWIN, MO 63011-2146
(636) 256-5111
(636) 256-5196
Mailing address
15945 CLAYTON RD, SUITE 140, BALLWIN, MO 63011-2146
(636) 256-5111
(636) 256-5196
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2010028453
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790096683
—
MO
01
—
2639132
NCPDP
MO
Enumeration date
06/25/2010
Last updated
11/10/2017
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