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NPI Code Detail

MEDICARE: MERCY FAMILY PHARMACY

MEDICARE: MERCY FAMILY PHARMACY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist11558-040WI
2183500000XPharmacist17231IA

General Provider Information

NPI Number : 1003903212
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY FAMILY PHARMACY
Provider Business Mailing Address
First Line : 30311 395TH AVE
Second Line :
City : BELLEVUE
State : IA
Zip : 52031-9647
Country : US
Telephone Number : 563-872-4257
Fax Number : 563-852-7758
Provider Business Practice Location Address
First Line : 805 JOHNSON ST SW
Second Line :
City : CASCADE
State : IA
Zip : 52033-8636
Country : US
Telephone Number : 563-852-7757
Fax Number : 563-852-7758
Authorized Official
Title or Position : ACCOUNTING
Name : JENNI AHERN
Credential :
Telephone Number : 563-589-8980
Provider Enumeration Date : 10/07/2006
Last Update Date : 08/22/2020

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1831127935 — STEVEN P BRADLEY DDS
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Directions to “MERCY FAMILY PHARMACY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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