Mercy Pharmacy Jackson

LBN: Southeast Hospital
Mercy Pharmacy Jackson is an health care organization with primary practice located at 2600 E. Main Street Suite 113, Jackson MO 63755. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Southeast Hospital can be contacted via phone (573) 755-2315, or through Berry, Krista via phone (573) 331-6028.

Contact Information

Primary practice address
2600 E. Main Street Suite 113 Jackson MO 63755
Phone: (573) 755-2315
Fax: (573) 519-4676
Website:
Map and Directions
Authorized official contact:
Name: Berry, Krista
Phone: (573) 331-6028

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1942847413
LBN Legal business name Southeast Hospital
DBA Doing business as Mercy Pharmacy Jackson
Authorized official Berry, Krista
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2019
Last updated Mar 5th, 2024 - about 2 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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