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MERCY HEALTH SERVICES LLC NPI 1689665077


NPI Information

NPI: 1689665077
Provider Name: MERCY HEALTH SERVICES, LLC
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
12680 OLIVE BLVD
SUITE #150
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 251-8989
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MERCY HEALTH SERVICES, LLC is a pharmacy in Saint Louis, MO. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. MERCY HEALTH SERVICES, LLC NPI is 1689665077. The provider is registered as an organization entity type.

The provider's business location address is:

12680 OLIVE BLVD
SUITE #150
SAINT LOUIS, MO
ZIP 63141-322
Phone: (314) 251-8989
Fax: (314) 251-8988

The provider's authorized official is Patrick Berry .
The authorized official title is Exec Dir-retail Pharmacy Svcs and has the following contact phone number (314) 628-5606.

The enumeration date for this NPI number is 11/3/2005 and was last updated on 11/10/2017.


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
1333600000XPharmacy2005000851MISSOURIYes

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
1606186609MEDICAIDMISSOURI
22635881OTHERMISSOURINCPDP

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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