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MERCY PHARMACY SERVICES, LLC
CAH261316-00 MERCY HOSPITAL AURORA
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Covered Entity Details
Entity Name
MERCY HOSPITAL AURORA
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261316-00
Entity Address
500 PORTER AVENUE
AURORA, MO 65605
Medicare Provider Number
261316
Participating Start Date
1/1/2011
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
MERCY PHARMACY SERVICES, LLC
Pharmacy Address
D/B/A MERCY SPECIALTY AND HOME INFUSION
2115 S FREMONT AVE STE 5200
SPRINGFIELD, MO 65804-2239
Pharmacy Comments
Contract Details
Approval Date
1/12/2018
Contract Begin Date
4/1/2018
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
Sherry Clouse Day, VP Finance - Mercy CAH
(417) 820-8439
Contract Pharmacy Representative
Mercy
Mark J Jaeger, VP-Ambulatory & Specialty Pharmacy
(314) 628-5607
Signed By Date
1/12/2018
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