Organization
MERCY HEALTH-ST RITAS MEDICAL CENTER LLC
Active
Other names
MERCY HEALTH-HOME INFUSION, LIMA, Mercy Health St. Rita's Home Infusion Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M RALSTON (VP REIMBURSEMENT)
(419) 996-5119
Entity
Organization
Contact information
Practice address
959 W NORTH ST, LIMA, OH 45805
(419) 226-9597
(419) 226-4363
Mailing address
959 W NORTH ST, LIMA, OH 45805-2457
(419) 226-9597
(419) 226-4363
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
022777050
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176530
PK
—
Enumeration date
06/03/2006
Last updated
05/12/2025
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