Organization
MHM SUPPORT SERVICES
Active
Other names
Mercy Specialty Pharmacy Oklahoma City
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK J BERRY R.PH. (EXEC. DIR. RETAIL PHARMACY SERVICES)
(314) 628-5606
Entity
Organization
Contact information
Practice address
4401 MCAULEY BLVD, SUITE 1700, OKLAHOMA CITY, OK 73120-8339
(405) 486-8727
Mailing address
4401 MCAULEY BLVD, SUITE 1700, OKLAHOMA CITY, OK 73120-8339
(405) 486-8727
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3729401
NCPDP
—
05
—
PENDING
—
MO
Enumeration date
05/19/2016
Last updated
03/07/2023
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