Organization
MERCY PHARMACY LLC
Active
Other names
Mercy Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BICHVAN NGUYEN TRUONG PHARMACIST (OWNER)
(720) 232-6735
Entity
Organization
Contact information
Practice address
2200 S FEDERAL BLVD UNIT 3, DENVER, CO 80219-5472
(720) 923-6892
(720) 923-6892
Mailing address
2200 S FEDERAL BLVD UNIT 3, DENVER, CO 80219-5472
(720) 923-6892
(720) 923-6892
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000169442
—
CO
Enumeration date
11/08/2018
Last updated
01/30/2019
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