340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ST JOSEPH'S MCAULEY PHARMACY
DSH050457 UCSF HEALTH - ST. MARY'S HOSPITAL
Print
Covered Entity Details
Entity Name
UCSF HEALTH - ST. MARY'S HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050457
Entity Address
450 STANYAN STREET
SAN FRANCISCO, CA 94117
Medicare Provider Number
050457
Participating Start Date
1/1/2007
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
ST JOSEPH'S MCAULEY PHARMACY
Pharmacy Address
500 W. THOMAS ROAD
SUITE 190
PHOENIX, AZ 85013
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/18/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
John Allen, President & CEO
(415) 750-4855
Contract Pharmacy Representative
St. Joseph's Hospital and Medical Center
Greg Blank, Director of Pharmacy
(602) 406-4744
Signed By Date
4/15/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session