MEDICARE: MERCY HEALTH SERVICES, 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
1	333600000X	Pharmacy	2005000851	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2635881	OTHER	MO	NCPDP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689665077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	12680 OLIVE BLVD
Second Line	:	SUITE #150
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-6322
Country	:	US
Telephone Number	:	314-251-8989
Fax Number	:	314-251-8988

Provider Business Practice Location Address
First Line	:	12680 OLIVE BLVD
Second Line	:	SUITE #150
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-6322
Country	:	US
Telephone Number	:	314-251-8989
Fax Number	:	314-251-8988

Authorized Official
Title or Position	:	EXEC DIR-RETAIL PHARMACY SVCS
Name	:	PATRICK BERRY
Credential	:
Telephone Number	:	314-628-5606

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	11/10/2017

Similar Medicare Providers

1487595088 — MIKAYLA ANNE GALUCIA MD
Practice Location Address:

12680 OLIVE BLVD STE 300
SAINT LOUIS, MO
63141-6322

Practice Phone: 314-251-8888
Practice Fax: 314-251-8889

1710828322 — DEBORRAH BLACKBURN
Practice Location Address:

12680 OLIVE BLVD STE 300
SAINT LOUIS, MO
63141-6322

Practice Phone: 314-251-8888
Practice Fax:

1467394783 — KATIE ALYN AYRES
Practice Location Address:

12680 OLIVE BLVD STE 300
SAINT LOUIS, MO
63141-6322

Practice Phone: 618-514-8502
Practice Fax:

1023950805 — PRIYA SURESH KANNA MD
Practice Location Address:

12680 OLIVE BLVD STE 300
SAINT LOUIS, MO
63141-6322

Practice Phone: 314-251-8888
Practice Fax:

1891793105 — JOHN E VERNON MD
Practice Location Address:

12680 OLIVE BLVD STE 100
SAINT LOUIS, MO
63141-6322

Practice Phone: 314-251-8900
Practice Fax:

1881670974 — AGNES M LAUS MD
Practice Location Address:

12680 OLIVE BLVD STE 116
SAINT LOUIS, MO
63141-6322

Practice Phone: 314-529-5660
Practice Fax: 314-529-5665

Directions to “MERCY HEALTH SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.