Organization
THE CHILDREN'S MERCY HOSPITAL
Active
Other names
Children's Mercy Pharmacy on Broadway
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D FINUF II (SENIOR VICE PRESIDENT)
(816) 701-5200
Entity
Organization
Contact information
Practice address
3101 BROADWAY BLVD, KANSAS CITY, MO 64111-2659
(816) 960-2950
Mailing address
2401 GILLHAM RD, ATTN: PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2011010462
MO
3336C0002X
Clinic Pharmacy
Primary
22-02925
KS
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003904070083
—
KS
05
—
606546901
—
MO
Enumeration date
04/21/2011
Last updated
04/18/2025
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