Mercy Pharmacy Rolla

LBN: Mercy Pharmacy Services, Llc
Mercy Pharmacy Rolla is an health care organization with primary practice located at 1605 Martin Springs Dr Ste 220 , Rolla MO 65401-2980. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Mercy Pharmacy Services, Llc can be contacted via phone (573) 458-6433, or through Jaeger, Mark via phone (314) 628-5607.

Contact Information

Primary practice address
1605 Martin Springs Dr Ste 220 Rolla MO 65401-2980
Phone: (573) 458-6433
Fax: (573) 458-6441
Website:
Map and Directions
Authorized official contact:
Name: Jaeger, Mark
Phone: (314) 628-5607

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2017027484 Missouri

Profile Details

NPI number 1568989028
LBN Legal business name Mercy Pharmacy Services, Llc
DBA Doing business as Mercy Pharmacy Rolla
Authorized official Jaeger, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2017
Last updated Jun 17th, 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 1568989028 NPPES
Missouri MEDICAID 606187300
Missouri Other 2637114

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