340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MERCY PHARMACY SERVICES, LLC
DSH260001 Mercy Hospital Joplin
Print
Covered Entity Details
Entity Name
Mercy Hospital Joplin
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH260001
Entity Address
100 Mercy Way
JOPLIN, MO 64804
Medicare Provider Number
260001
Participating Start Date
4/1/2005
Last Recertification Date
8/20/2024
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
7/3/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mathew Janssens, Chief Financial Officer
(417) 556-2459
Contract Pharmacy Representative
Mercy
Mark J Jaeger, VP-Ambulatory & Specialty Pharmacy
(314) 628-5607
Signed By Date
7/3/2024
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