Mercy Family Pharmacy West
LBN: Mercy Family Pharmacy
Mercy Family Pharmacy West is an health care organization with primary practice located at 1500 Associates Dr , Dubuque IA 52002-2201. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Mercy Family Pharmacy can be contacted via phone (563) 584-4405, or through Takes, Kay via phone (563) 589-8061.
Contact Information
Primary practice address
1500 Associates Dr
Dubuque IA 52002-2201
Phone: (563) 584-4405
Fax: (563) 584-4404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 879 | Iowa |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1962573774 |
|---|---|
| LBN Legal business name | Mercy Family Pharmacy |
| DBA Doing business as | Mercy Family Pharmacy West |
| Authorized official | Takes, Kay |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962573774 | NPPES |
| Iowa | MEDICAID | 0480442 | |
| Iowa | Other | 2029510 |
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