Mercy Pharmacy Lebanon

LBN: Mercy Pharmacy Services, Llc
Mercy Pharmacy Lebanon is an health care organization with primary practice located at 200 Hospital Dr , Lebanon MO 65536-9215. 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 Pharmacy Services, Llc can be contacted via phone (417) 533-6770, or through Jaeger, Mark via phone (314) 628-5607.

Contact Information

Primary practice address
200 Hospital Dr Lebanon MO 65536-9215
Phone: (417) 533-6770
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jaeger, Mark
Phone: (314) 628-5607

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2017027482 Missouri

Profile Details

NPI number 1710404264
LBN Legal business name Mercy Pharmacy Services, Llc
DBA Doing business as Mercy Pharmacy Lebanon
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 1710404264 NPPES
Other 2049004 PK
MEDICAID 600095004 PK

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