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Contact Information

MERCY PHARMACY SERVICES LLC
10010 KENNERLY RD FL 1
SAINT LOUIS, MO63128-2106
 Phone: 314-525-1633
 Fax: 314-525-1634
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MERCY PHARMACY SERVICES LLC

NPI Number 1760609671
LBN Legal business name MERCY PHARMACY SERVICES LLC
Authorized official DOUG MALCOLM - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/20/2007
Last updated 01/26/2026 - About 4 months ago
Identifiers
MO License # 000328
Other 2049665 PK
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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