Mercy Pharmacy Services, Llc

LBN: Mercy Pharmacy Services, Llc
Mercy Pharmacy Services, Llc is an health care organization with primary practice located at 1011 14Th Ave Nw , Ardmore OK 73401-1828. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mercy Pharmacy Services, Llc can be contacted via phone (580) 220-6250, or through Jaeger, Mark via phone (314) 628-5607.

Contact Information

Primary practice address
1011 14Th Ave Nw Ardmore OK 73401-1828
Phone: (580) 220-6250
Fax: (580) 220-6251
Website:
Map and Directions
Authorized official contact:
Name: Jaeger, Mark
Phone: (314) 628-5607

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 12-7475 Oklahoma

Profile Details

NPI number 1396124236
LBN Legal business name Mercy Pharmacy Services, Llc
DBA Doing business as
Authorized official Jaeger, Mark
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2015
Last updated Jun 21st, 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 1396124236 NPPES
Other 2152488 PK
MEDICAID 100262320 PK

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