| NPI | 1760074173 |
|---|---|
| Doing Business As | MERCY PHARMACY MACKENZIE |
| Entity Type | Organization |
| Authorized Contact | JONATHAN LAKAMP Chief Pharmacy Offcier 314-628-3406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2021-02-07 |
| Last Update Date | 2021-02-09 |