NPI | 1114695459 |
---|---|
Doing Business As | MERCY HEALTH-ST RITAS OUTPT PHARMACY |
Entity Type | Organization |
Authorized Contact | KIMBERLY M RALSTON Director Payor Credentialing 419-996-5119 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2021-09-01 |
Last Update Date | 2021-12-16 |