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MERCY FAMILY PHARMACY NPI 1922034131


NPI Information

NPI: 1922034131
Provider Name: MERCY FAMILY PHARMACY

Doing Business As: MERCY FAMILY PHARMACY- EAST

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1000 LANGWORTHY ST
DUBUQUE, IA
ZIP 52001
Phone: (563) 584-3405
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MERCY FAMILY PHARMACY is a pharmacy in Dubuque, IA. 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 FAMILY PHARMACY NPI is 1922034131. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Family Pharmacy- East.

The provider's business location address is:

1000 LANGWORTHY ST
DUBUQUE, IA
ZIP 52001-313
Phone: (563) 584-3405

The provider's authorized official is Kay Takes .
The authorized official title is President and has the following contact phone number (563) 589-8061.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 11/25/2019.


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
1333600000XPharmacy481IOWAYes
23336C0003XPharmacyCommunity/Retail PharmacyNo

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
10400139MEDICAIDIOWA
20480426MEDICAIDIOWA
31605952OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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: 4/28/2024

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