| NPI | 1144790791 |
|---|---|
| Doing Business As | MERCYHEALTH PHARMACY - RIVERSIDE |
| Entity Type | Organization |
| Authorized Contact | TODD ANDERSON CFO 815-971-6752 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2023-09-27 |