Organization Name: | MERCY HEALTH SERVICES, LLC |
NPI Number: | 1508857996 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN P HYATT (GENERAL MANAGER EAST COMMUNITY) |
Mailing Address: | 851 E 5th St Suite #104 Washington |
State: | MO US |
Postal Code: | 630903135 |
Phone Number: | 6363907333 |
Fax Number: | 3633907355 |
NPI Enumeration Date: | 11/03/2005 |
NPI Last Update Date: | 07/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | 2003027642 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |