Contract Pharmacy Details

MERCY HEALTH SERVICES, LLC
CHC24105-01 COMMUNITY TREATMENT INCORPORATED

Covered Entity Details

Entity Name

COMMUNITY TREATMENT INCORPORATED

Subdivision Name

COMTREA High Ridge Family Medical Center

Type

HRSA-Funded Health Center

340B ID

CHC24105-01

Entity Address

324 Emerson Road
High Ridge, MO 63049-2542

Grant Number

H80CS24105

Participating Start Date

1/1/2013

Last Recertification Date

1/30/2023

Entity Termination Date

1/1/2024

Pharmacy Details

Pharmacy Name

MERCY HEALTH SERVICES, LLC

Pharmacy Address

MERCY PHARMACY - JEFFERSON
1400 US HIGHWAY 61 SOUTH
SUITE S1100
FESTUS, MO 63028-4111

Pharmacy Comments

Contract Details

Approval Date

10/15/2015

Contract Begin Date

1/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/6/2023
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Amy Rhodes, CFO
(636) 232-2341

Contract Pharmacy Representative

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

Signed By Date

10/15/2015

340B Drug Pricing Program Database