340B Drug Pricing Program Database

Pharmacy Name

MERCY HEALTH SERVICES, LLC

Pharmacy Address

D/B/A MERCY SPECIALTY PHARMACY ST. LOUIS
607 S. NEW BALLAS RD.
SUITE 1415
SAINT LOUIS, MO 63141

Pharmacy Comments

Approval Date

7/14/2017

Contract Begin Date

10/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/1/2017
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Scott R Reynolds, CFO-Central Community
(417) 820-2818

Contract Pharmacy Representative

Mercy
Patrick Berry, Executive Director Retail Pharmacy Services
(314) 628-5606

Signed By Date

7/14/2017