Organization
MERCY PHARMACY CORP
Active
Other names
MERCY PHARMACY CORP
Organization subpart
No
Provider details
NPI number
Authorized official
ELISEO ESPAILLAT (PRESIDENT)
(305) 846-9381
Entity
Organization
Contact information
Practice address
5524 W FLAGLER ST, CORAL GABLES, FL 33134-1078
(305) 846-9381
(305) 846-9389
Mailing address
5524 W FLAGLER ST, CORAL GABLES, FL 33134-1078
(305) 846-9381
(305) 846-9389
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1057593
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/08/2010
Last updated
07/26/2010
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