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MERCY MEDICAL CENTER NPI 1114923513


NPI Information

NPI: 1114923513
Provider Name: MERCY MEDICAL CENTER

Doing Business As: HALL PERRINE CANCER CENTER PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 16D0386814

Address:
701 10TH ST SE
CEDAR RAPIDS, IA
ZIP 52403
Phone: (319) 398-6343
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MERCY MEDICAL CENTER is a community/retail pharmacy pharmacy in Cedar Rapids, IA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MERCY MEDICAL CENTER NPI is 1114923513. The provider is registered as an organization entity type.
The provider Is Doing Business As Hall Perrine Cancer Center Pharmacy.

The provider's business location address is:

701 10TH ST SE
CEDAR RAPIDS, IA
ZIP 52403-251
Phone: (319) 398-6343
Fax: (319) 862-1398

The provider's authorized official is Timothy L Charles .
The authorized official title is President And Ceo and has the following contact phone number (319) 398-6697.

The CLIA number assigned to this NPI record is 16D0386814 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/22/2005 and was last updated on 8/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy1406IOWANo
23336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11114923513MEDICAIDIOWA
22127514OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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