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NPI Code Detail

MEDICARE: ST MERCURIUS LLC

MEDICARE: ST MERCURIUS LLC
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
13336H0001XHome Infusion Therapy Pharmacy
2333600000XPharmacy

General Provider Information

NPI Number : 1609723154
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST MERCURIUS LLC
Provider Business Mailing Address
First Line : 6150 PARKLAND BLVD
Second Line :
City : MAYFIELD HEIGHTS
State : OH
Zip : 44124-4103
Country : US
Telephone Number : 216-899-7455
Fax Number : 216-899-7456
Provider Business Practice Location Address
First Line : 6150 PARKLAND BLVD
Second Line :
City : MAYFIELD HEIGHTS
State : OH
Zip : 44124-4103
Country : US
Telephone Number : 216-899-7455
Fax Number : 216-899-7456
Authorized Official
Title or Position : PHARMACY DIRECTOR
Name : SHERIF MANKARYOUS
Credential : RPH
Telephone Number : 440-725-9938
Provider Enumeration Date : 03/13/2026
Last Update Date : 03/13/2026

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Directions to “ST MERCURIUS LLC ” Practice Location

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