Pharmacy Details

MERCY PHARMACY SERVICES, LLC - information as of 5/1/2025 11:56:13 PM

Name
MERCY PHARMACY SERVICES, LLC

Address

DBA: MERCY PHARMACY BROADWAY
1723 BROADWAY ST STE 110
CAPE GIRARDEAU, MO 63701

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	RRC260110-00	SOUTHEASTHEALTH dba MERCY HOSPITAL SOUTHEAST		Rural Referral Center	1701 LACEY STREET		CAPE GIRARDEAU	MO	10/01/2024		10/1/2024 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		MERCY PHARMACY BROADWAY DBA: MERCY PHARMACY BROADWAY 1723 BROADWAY ST STE 110 CAPE GIRARDEAU, MO 63701	MERCY PHARMACY SERVICES, LLC DBA: MERCY PHARMACY BROADWAY 1723 BROADWAY ST STE 110 CAPE GIRARDEAU, MO 63701	1/10/2025 9:23 AM
Details	Name	Update		MERCY PHARMACY BROADWAY	MERCY PHARMACY SERVICES, LLC	1/10/2025 9:23 AM
Addresses	Pharmacy Address	Update		MERCY PHARMACY BROADWAY 1723 BROADWAY ST STE 110 CAPE GIRARDEAU, MO 63701	MERCY PHARMACY BROADWAY DBA: MERCY PHARMACY BROADWAY 1723 BROADWAY ST STE 110 CAPE GIRARDEAU, MO 63701	1/6/2025 10:03 AM
Details	Comments	Insert				3/11/2024 10:49 AM
Details	Is Deleted	Insert			False	3/11/2024 10:49 AM
Addresses	Pharmacy Address	Insert			MERCY PHARMACY BROADWAY 1723 BROADWAY ST STE 110 CAPE GIRARDEAU, MO 63701	3/11/2024 10:49 AM
Details	Name	Insert			MERCY PHARMACY BROADWAY	3/11/2024 10:49 AM