340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SUNRAY DRUGS 56TH AND MARKET STREETS
DSH390156A MERCY CATHOLIC MEDICAL CENTER
Print
Covered Entity Details
Entity Name
MERCY CATHOLIC MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390156A
Entity Address
501 South 54th
ATTN: CHIEF FINANCIAL OFFICER
Philadelphia, PA 19143
Medicare Provider Number
390156
Outpatient Facility Provider Number
Participating Start Date
7/1/2003
Last Recertification Date
8/30/2019
Entity Termination Date
7/1/2020
Pharmacy Details
Pharmacy Name
SUNRAY DRUGS 56TH AND MARKET STREETS
Pharmacy Address
5537 MARKET ST
PHILADELPHIA, PA 19139
Pharmacy Comments
Contract Details
Approval Date
4/16/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/15/2017
Other
Contacts
Covered Entity Signing Official
JOSEPH H. BRADLEY, CFO
(610) 567-6770
Contract Pharmacy Representative
Evan Stoudt, Owner
(215) 474-1700
Signed By Date
4/16/2014
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