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General NPI Number Information
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NPI Number | 1306265640
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Entity Type | Organization
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Legal Business Name | MERCY PHARMACY SERVICES, LLC
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 2017 W I 35 FRONTAGE RD
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City | EDMOND
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State | OK
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Zip | 73013-8504
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Country | US
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Telephone | 405-757-3395
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Fax | 405-757-3396
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Provider Business Mailing Address
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Address Line | 14528 S OUTER 40 RD
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City | CHESTERFIELD
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State | MO
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Zip | 63017-5785
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Country | US
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Telephone | 314-628-5627
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Fax | 405-757-3396
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DOUG MALCOLM
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Credential | PHARMD, MHA
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Telephone | 303-813-5532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 1-6278
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License Number State | OK
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