Mercy Family Pharmacy- East

LBN: Mercy Family Pharmacy
Mercy Family Pharmacy- East is an health care organization with primary practice located at 1000 Langworthy St , Dubuque IA 52001-7313. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Mercy Family Pharmacy can be contacted via phone (563) 584-3405, or through Takes, Kay via phone (563) 589-8061.

Contact Information

Primary practice address
1000 Langworthy St Dubuque IA 52001-7313
Fax:
Website:
Authorized official contact:
Name: Takes, Kay

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 481 Iowa
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1922034131
LBN Legal business name Mercy Family Pharmacy
DBA Doing business as Mercy Family Pharmacy- East
Authorized official Takes, Kay
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2006
Last updated Nov 25th, 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 1922034131 NPPES
Iowa MEDICAID 0400139
Iowa MEDICAID 0480426
Iowa Other 1605952

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