Organization
MERCY HEALTH SERVICES-IOWA CORP.
Active
Other names
MercyOne Regency Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK TRAMMEL (ASST TREASURER)
(641) 428-7984
Entity
Organization
Contact information
Practice address
621 S ILLINOIS AVE STE 101, MASON CITY, IA 50401-5489
(641) 428-6940
(641) 428-6942
Mailing address
PO BOX 1159, MASON CITY, IA 50402-1159
(641) 428-7917
(641) 428-8635
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1138
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230789
—
IA
01
—
2030058
PK
—
Enumeration date
10/12/2006
Last updated
10/10/2024
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