Mercy Pharmacy Services, Llc

LBN: Mercy Pharmacy Services, Llc
Mercy Pharmacy Services, Llc is an health care organization with primary practice located at 4200 W Memorial Rd Suite 106, Oklahoma City OK 73120-9350. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mercy Pharmacy Services, Llc can be contacted via phone (405) 752-3590, or through Jaeger, Mark via phone (314) 628-5607.

Contact Information

Primary practice address
4200 W Memorial Rd Suite 106 Oklahoma City OK 73120-9350
Fax: (405) 752-3885
Website:
Authorized official contact:
Name: Jaeger, Mark

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 1-6150 Oklahoma
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1104910363
LBN Legal business name Mercy Pharmacy Services, Llc
DBA Doing business as
Authorized official Jaeger, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Jun 17th, 2021 - about 3 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 1104910363 NPPES
Oklahoma MEDICAID 100699390G
Oklahoma Other 2074206

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