Organization
MERCY FAMILY PHARMACY
Active
Other names
Mercy Family Pharmacy- East
Organization subpart
No
Provider details
NPI number
Authorized official
KAY TAKES (PRESIDENT)
(563) 589-8061
Entity
Organization
Contact information
Practice address
1000 LANGWORTHY ST, DUBUQUE, IA 52001-7313
(563) 584-3405
Mailing address
1000 LANGWORTHY ST, DUBUQUE, IA 52001-7313
(563) 584-3405
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
481
IA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0400139
—
IA
05
—
0480426
—
IA
01
—
1605952
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/23/2006
Last updated
11/25/2019
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