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HARNESS HEALTH PHARMACY
DSH210013 Grace Medical Center, Inc.
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Covered Entity Details
Entity Name
Grace Medical Center, Inc.
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH210013
Entity Address
2000 WEST BALTIMORE STREET
BALTIMORE, MD 21223
Medicare Provider Number
210013
Participating Start Date
10/1/2002
Last Recertification Date
9/10/2021
Entity Termination Date
4/1/2022
Pharmacy Details
Pharmacy Name
HARNESS HEALTH PHARMACY
Pharmacy Address
7160 INDUSTRIAL ROW DR
SUITE 330
MASON, OH 45040
Pharmacy Comments
Contract Details
Approval Date
1/18/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/7/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Michael A Brozic, CFO Bon Secours Baltimore
(410) 913-1546
Contract Pharmacy Representative
Mercy Health Pharmacy
Scott Spille, System Director - Retail Pharmacy
(859) 814-9786
Signed By Date
1/18/2019
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