NPI | 1427575901 |
---|---|
Doing Business As | MERCY PHARMACY EVANS ROAD |
Entity Type | Organization |
Authorized Contact | MARK JAEGER VP Ambulatory & Specialty Pharmacy 314-628-5607 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2017027483) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2017-08-25 |
Last Update Date | 2021-06-21 |