Organization
MERCY HOSPITAL ADA PHARMACY
Active
Parent organization
MERCY
Other names
Mercy Hospital Ada, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY
Authorized official
MR. SIDNEY MICHAEL O'GRADY D.PH. (DIRECTOR OF PHARMACY)
(580) 421-1508
Entity
Organization
Contact information
Practice address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(580) 421-1508
(580) 421-6035
Mailing address
430 N MONTE VISTA AVE, ADA, OK 74820-4610
(580) 421-1508
(580) 421-6035
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
23-6325
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3703368
NCPDP
OK
Enumeration date
11/01/2013
Last updated
11/01/2013
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