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 ST. LOUIS
607 S. NEW BALLAS RD.
STE 1415
SAINT LOUIS, MO 63141
Pharmacy Comments
Contract Details
Approval Date
10/5/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/1/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Gary W. Pulsipher, President
(417) 556-2200
Contract Pharmacy Representative
Mercy
Mark J Jaeger, VP-Ambulatory & Specialty Pharmacy
(314) 628-5607
Signed By Date
10/5/2017
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