MERCY HOME INFUSION PHARMACY; NPI #1912950239

Contact Information

MERCY HOME INFUSION PHARMACY

1000 4TH ST SW
MASON CITY, IA 50401

Phone: 641-428-5732
Fax: 641-428-7431
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Home Infusion	251F00000X
Home Infusion Therapy Pharmacy	3336H0001X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for MERCY HOME INFUSION PHARMACY

NPI # 1912950239

LBN Legal business name MERCY HOME INFUSION PHARMACY

Authorized official ABBY BAUMAN - (PHARMACIST IN CHARGE)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 05/18/2006

Last updated 05/09/2014 - About 12 years ago

Identifiers

IA	License #	1369
IA	Medicaid	0015252
IA	Other	40932	WELLMARK-BCBS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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