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Organization

MERCY FAMILY PHARMACY

Active
Other names
MERCY FAMILY PHARMACY WEST
Organization subpart
No

Provider details

NPI number
Authorized official
KAY TAKES (PRESIDENT)
(563) 589-8061
Entity
Organization

Contact information

Practice address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4405
(563) 584-4404
Mailing address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2260
(563) 584-4405
(563) 584-4404

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
879
IA
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0480442
IA
01
2029510
PK
Enumeration date
11/13/2006
Last updated
11/25/2019
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