NPI | 1154143642 |
---|---|
Doing Business As | MERCYHEALTH PHARMACY - PERRYVILLE |
Entity Type | Organization |
Authorized Contact | TODD ANDERSON VP CFO 815-971-6752 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2024-10-28 |
Last Update Date | 2025-01-08 |