| NPI | 1639212806 |
|---|---|
| Former Legal Business Name | MERCY MEDICAL CENTER OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KAY TAKES President/CEO 563-589-8061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 964) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: IA 964) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-04-24 |