| NPI | 1568753150 |
|---|---|
| Doing Business As | MERCY PHARMACY SOUTHFORK |
| 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 2012021200) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2021-06-21 |