Mercury Pharmacy Svcs Inc

LBN: Mercury Pharmacy Svcs Inc
Mercury Pharmacy Svcs Inc is an health care organization with primary practice located at 22316 70Th Ave W Ste 5 , Mountlake Terrace WA 98043-2184. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Mercury Pharmacy Svcs Inc can be contacted via phone (425) 673-5200, or through Boulanger, Stephen via phone (425) 673-5200.

Contact Information

Primary practice address
22316 70Th Ave W Ste 5 Mountlake Terrace WA 98043-2184
Phone: (425) 673-5200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boulanger, Stephen
Phone: (425) 673-5200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X FL00056923 Washington

Profile Details

NPI number 1073659694
LBN Legal business name Mercury Pharmacy Svcs Inc
DBA Doing business as Mercury Pharmacy Svcs Inc
Authorized official Boulanger, Stephen
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Feb 4th, 2019 - 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 1073659694 NPPES
Other 4925321 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 6024343 NCPDP PROVIDER IDENTIFICATION NUMBER

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