Organization
MERCY HOME INFUSION PHARMACY
Active
Organization
MERCY HOME INFUSION PHARMACY
Active
Parent organization
MERCY MEDICAL CENTER-NORTH IOWA
Other names
Mercy Medical Center-North Iowa
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY MEDICAL CENTER-NORTH IOWA
Authorized official
ABBY E BAUMAN PHARMD (PHARMACIST IN CHARGE)
(641) 428-5732
Entity
Organization
Contact information
Practice address
1000 4TH ST SW, MASON CITY, IA 50401
(641) 428-5732
(641) 428-7431
Mailing address
1000 4TH ST SW, MASON CITY, IA 50401
(641) 428-5732
(641) 428-7431
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
1369
IA
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015252
—
IA
01
—
40932
WELLMARK-BCBS
IA
Enumeration date
05/18/2006
Last updated
05/09/2014
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