Hall Perrine Cancer Center Pharmacy

LBN: Mercy Medical Center
Hall Perrine Cancer Center Pharmacy is an health care organization with primary practice located at 701 10Th St Se , Cedar Rapids IA 52403-1251. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mercy Medical Center can be contacted via phone (319) 398-6343, or through Charles, Timothy L via phone (319) 398-6697.

Contact Information

Primary practice address
701 10Th St Se Cedar Rapids IA 52403-1251
Phone: (319) 398-6343
Fax: (319) 862-1398
Website:
Map and Directions
Authorized official contact:
Name: Charles, Timothy L
Phone: (319) 398-6697

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 1406 Iowa
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1114923513
LBN Legal business name Mercy Medical Center
DBA Doing business as Hall Perrine Cancer Center Pharmacy
Authorized official Charles, Timothy L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2005
Last updated Aug 23rd, 2021 - about 5 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 1114923513 NPPES
Other 2127514 PK
MEDICAID 1114923513 PK

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