Mercyone Clear Lake Pharmacy

LBN: Mercy Health Services-Iowa Corp
Mercyone Clear Lake Pharmacy is an health care organization with primary practice located at 1410 6Th Ave S Ste 200 , Clear Lake IA 50428-2606. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Mercy Health Services-Iowa Corp can be contacted via phone (641) 231-8900, or through Trammel, Mark via phone (641) 428-7984.

Contact Information

Primary practice address
1410 6Th Ave S Ste 200 Clear Lake IA 50428-2606
Phone: (641) 231-8900
Fax: (641) 231-8910
Website:
Map and Directions
Authorized official contact:
Name: Trammel, Mark
Phone: (641) 428-7984

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 1579 Iowa
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1639625155
LBN Legal business name Mercy Health Services-Iowa Corp
DBA Doing business as Mercyone Clear Lake Pharmacy
Authorized official Trammel, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2016
Last updated Sep 13th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639625155 NPPES
Other 2163823 PK
MEDICAID 0409056 PK

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