Mercer Ms LLC
Organization Active NPI Community/Retail Pharmacy · Mercer, PA
NPI 1376721175 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1376721175
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PP410839L (PA)
- Legal business name
- MERCER MS LLC
- Practice address
- 315 South Erie Street
Suite a
Mercer, PA 16137 - Phone
- (724) 662-2240
- Fax
- (724) 662-1904
- NPI assigned
- Feb 4, 2008
- Organization subpart
- No
Authorized official
- Name
- Judith Derrick, RPH
- Title
- Vice President / Secretary / Treasu
- Phone
- (724) 866-5814
National Provider Directory
Locations
533 Greenville Rd
Mercer, PA 16137
Phone (724) 662-2240
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PA | ||
| Community/Retail Pharmacy | 3336C0003X | PP410839L | PA | Yes |
Addresses
Primary practice location
315 South Erie Street
Suite a
Mercer, PA 16137
Mailing address
315 South Erie Street
Suite a
Mercer, PA 16137
Phone (724) 662-2240
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3989906 | Other | PA | NCPDP |
| 1021362610002 | Medicaid | PA | |
| P01373089 | Other | PA | RAILROAD MEDICARE |
Other names
- MEDICINE SHOPPE
Other providers in Mercer, PA
- Mercer County Behavioral Health Commission
- Mercer County Behavioral Health Commission Inc
- Mercer County Behavioral Health Commission Inc
- Mercer County Behavioral Health Commission Inc
- Mercer County BHC
- Mercer Pharmacy Inc
- Charles B Miller
- Stefanie A Montgomery
- Scott David Morgan
- Brijette Fenella Morris
All providers in Mercer, PA · Community/Retail Pharmacy in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.