340B Drug Pricing Program Database
MERCY PHARMACY SERVICES, LLC - information as of 5/24/2025 1:40:13 AM
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Name
MERCY PHARMACY SERVICES, LLC
Address
D/B/A MERCY PHARMACY SOUTHFORK
12700 SOUTHFORK RD STE 110
SAINT LOUIS, MO 63128-3276
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
DSH260020
MERCY HOSPITAL - ST. LOUIS
Disproportionate Share Hospital
615 S. NEW BALLAS ROAD
Main Hospital Pharmacy and JFK Clinic
ST. LOUIS
MO
01/01/2023
1/1/2023 12:01 AM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Details
Comments
Insert
10/5/2018 9:13 AM
Details
Is Deleted
Insert
False
10/5/2018 9:13 AM
Addresses
Pharmacy Address
Insert
MERCY PHARMACY SERVICES, LLC D/B/A MERCY PHARMACY SOUTHFORK 12700 SOUTHFORK RD STE 110 SAINT LOUIS, MO 63128-3276
10/5/2018 9:13 AM
Details
Name
Insert
MERCY PHARMACY SERVICES, LLC
10/5/2018 9:13 AM
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