NPI | 1740707504 |
---|---|
Doing Business As | MERCY PHARMACY FREMONT |
Entity Type | Organization |
Authorized Contact | MARK JAEGER VP Ambulatory & Specialty Pharmacy 314-628-5607 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2017027476) |
Enumeration Date | 2017-08-23 |
Last Update Date | 2021-06-21 |