Mercy Pharmacy Services, Llc
LBN: Mercy Pharmacy Services, Llc
Mercy Pharmacy Services, Llc is an health care organization with primary practice located at 4200 W Memorial Rd Suite 106, Oklahoma City OK 73120-9350. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Mercy Pharmacy Services, Llc can be contacted via phone (405) 752-3590, or through Jaeger, Mark via phone (314) 628-5607.
Contact Information
Primary practice address
4200 W Memorial Rd Suite 106
Oklahoma City OK 73120-9350
Phone: (405) 752-3590
Fax: (405) 752-3885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 1-6150 | Oklahoma |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1104910363 |
|---|---|
| LBN Legal business name | Mercy Pharmacy Services, Llc |
| DBA Doing business as | |
| Authorized official | Jaeger, Mark |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jun 17th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104910363 | NPPES |
| Oklahoma | MEDICAID | 100699390G | |
| Oklahoma | Other | 2074206 |
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