340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MERCY PHARMACY SERVICES, LLC
DSH260023 MERCY HOSPITAL JEFFERSON
Print
Covered Entity Details
Entity Name
MERCY HOSPITAL JEFFERSON
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH260023
Entity Address
1400 HIGHWAY 61 SOUTH
Festus, MO 63028-4100
Medicare Provider Number
260023
Participating Start Date
11/3/2022
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
MERCY PHARMACY SERVICES, LLC
Pharmacy Address
DBA: MERCY SPECIALTY PHARMACY
3183 RIVERPORT TECH CENTER DR STE A
MARYLAND HEIGHTS, MO 63043
Pharmacy Comments
Contract Details
Approval Date
7/2/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Daniel S Eckenfels, Comunity President
(636) 933-1107
Contract Pharmacy Representative
Mercy
Mark J Jaeger, VP-Ambulatory & Specialty Pharmacy
(314) 628-5607
Signed By Date
7/2/2024
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