| NPI | 1558307942 |
|---|---|
| Doing Business As | MERCY MALL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH D MALAS CFO 815-971-6738 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WI 7720) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: WI 7720) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2025-06-17 |