Pharmacy Details

MERCY PHARMACY SERVICES, LLC - information as of 5/2/2025 12:28:12 AM

Name
MERCY PHARMACY SERVICES, LLC

Address

MERCY PHARMACY COLETTA
4401 MCAULEY BLVD
STE 1700
OKLAHOMA CITY, OK 73120

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	DSH260001	Mercy Hospital Joplin		Disproportionate Share Hospital	100 Mercy Way		JOPLIN	MO	04/01/2018	05/01/2019	5/8/2019 2:56 PM
Details	DSH370013	MERCY HOSPITAL OKC		Disproportionate Share Hospital	4300 WEST MEMORIAL ROAD		OKLAHOMA CITY	OK	11/04/2022		11/4/2022 2:46 PM
Details	DSH370020	Mercy Hospital ADA Inc.		Disproportionate Share Hospital	430 N. MONTE VISTA		ADA	OK	03/15/2022		3/29/2022 5:02 PM
Details	DSH370047	MERCY HOSPITAL ARDMORE		Disproportionate Share Hospital	1011 14TH AVE NW		ARDMORE	OK	01/01/2024		1/1/2024 12:01 AM
Details	RRC370013-00	MERCY HOSPITAL OKC		Rural Referral Center	4300 WEST MEMORIAL ROAD		OKLAHOMA CITY	OK	01/01/2020	11/04/2022	11/8/2022 12:19 PM
Details	SCH370020-00	MERCY HOSPITAL ADA		Sole Community Hospital	430 NORTH MONTE VISTA		ADA	OK	02/11/2022	03/15/2022	3/29/2022 5:02 PM
Details	SCH370047-00	MERCY HOSPITAL ARDMORE INC		Sole Community Hospital	1011 14TH AVENUE NW		ARDMORE	OK	04/01/2018	05/01/2019	5/22/2019 3:37 PM
Details	SCH370047-00	MERCY HOSPITAL ARDMORE INC		Sole Community Hospital	1011 14TH AVENUE NW		ARDMORE	OK	10/01/2019	01/01/2024	1/1/2024 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		MERCY PHARMACY COLETTA MERCY PHARMACY COLETTA 4401 MCAULEY BLVD, STE 1700 OKLAHOMA CITY, OK 73120	MERCY PHARMACY SERVICES, LLC MERCY PHARMACY COLETTA 4401 MCAULEY BLVD STE 1700 OKLAHOMA CITY, OK 73120	1/10/2025 9:23 AM
Details	Name	Update		MERCY PHARMACY COLETTA	MERCY PHARMACY SERVICES, LLC	1/10/2025 9:23 AM
Addresses	Pharmacy Address	Update		MERCY PHARMACY COLETTA MERCY PHARMACY SERVICES, LLC 4401 MCAULEY BLVD, STE 1700 OKLAHOMA CITY, OK 73120	MERCY PHARMACY COLETTA MERCY PHARMACY COLETTA 4401 MCAULEY BLVD, STE 1700 OKLAHOMA CITY, OK 73120	1/6/2025 10:03 AM
Addresses	Pharmacy Address	Update		MERCY SPECIALTY PHARMACY OKLAHOMA CITY MERCY PHARMACY SERVICES, LLC 4401 MCAULEY BLVD, STE 1700 OKLAHOMA CITY, OK 73120	MERCY PHARMACY COLETTA MERCY PHARMACY SERVICES, LLC 4401 MCAULEY BLVD, STE 1700 OKLAHOMA CITY, OK 73120	11/25/2024 12:35 PM
Details	Name	Update		MERCY SPECIALTY PHARMACY OKLAHOMA CITY	MERCY PHARMACY COLETTA	11/25/2024 12:35 PM
Addresses	Pharmacy Address	Insert			MERCY SPECIALTY PHARMACY OKLAHOMA CITY MERCY PHARMACY SERVICES, LLC 4401 MCAULEY BLVD, STE 1700 OKLAHOMA CITY, OK 73120	8/20/2018 4:20 PM
Details	Comments	Insert				11/3/2017 2:44 PM
Details	Is Deleted	Insert			False	11/3/2017 2:44 PM
Addresses	Pharmacy Address	Insert			MERCY SPECIALTY PHARMACY OKLAHOMA CITY MERCY PHARMACY SERVICES, LLC 4401 MCAULEY BLVD OKLAHOMA CITY, OK 73120	11/3/2017 2:44 PM
Details	Name	Insert			MERCY SPECIALTY PHARMACY OKLAHOMA CITY	11/3/2017 2:44 PM