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HARNESS HEALTH PHARMACY
CAH361306-00 MERCY ALLEN HOSPITAL
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Covered Entity Details
Entity Name
MERCY ALLEN HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH361306-00
Entity Address
200 WEST LORAIN STREET
OBERLIN, OH 44074
Medicare Provider Number
361306
Participating Start Date
9/27/2010
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
HARNESS HEALTH PHARMACY
Pharmacy Address
7160 INDUSTRIAL ROW DR STE 331
MASON, OH 45040
Pharmacy Comments
Contract Details
Approval Date
1/13/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/25/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Cynthia Dennison, Hospital CFO Lorain
(440) 960-3640
Contract Pharmacy Representative
Bon Secours Mercy Health
Behlan Ersoy, System Director Specialty Pharmacy
(513) 557-7661
Signed By Date
1/13/2020
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