National Provider Identifier Database

MERCY HOME INFUSION PHARMACY
Home Infusion


Contact Information

MERCY HOME INFUSION PHARMACY
1000 4TH ST SW
MASON CITY, IA50401
Phone: 641-428-5732
Fax: 641-428-7431
Website:
Specialty Taxonomy Code
* Home Infusion 251F00000X
Home Infusion Therapy Pharmacy 3336H0001X

* Indicates primary specialty

NPI Profile & details for MERCY HOME INFUSION PHARMACY

NPI Number 1912950239
Legal business name
LBN
MERCY HOME INFUSION PHARMACY
Authorized official ABBY BAUMAN - (PHARMACIST IN CHARGE)
Entity Organization
Organization subpart Yes
Enumeration date 05/18/2006
Last updated 05/09/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • IA License #: 1369
  • IA Medicaid: 0015252
  • IA Other: 40932 WELLMARK-BCBS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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