Provider Demographics
NPI:1861849804
Name:MHM SUPPORT SERVICES
Entity Type:Organization
Organization Name:MHM SUPPORT SERVICES
Other - Org Name:MERCY SPECIALTY PHARMACY OKLAHOMA CITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXEC. DIR. RETAIL PHARMACY SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:314-628-5606
Mailing Address - Street 1:4401 MCAULEY BLVD
Mailing Address - Street 2:SUITE 1700
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-8339
Mailing Address - Country:US
Mailing Address - Phone:405-486-8727
Mailing Address - Fax:
Practice Address - Street 1:4401 MCAULEY BLVD
Practice Address - Street 2:SUITE 1700
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8339
Practice Address - Country:US
Practice Address - Phone:405-486-8727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
3729401OtherNCPDP
MOPENDINGMedicaid
MOPENDINGMedicaid