340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HARNESS HEALTH PHARMACY
CAH361310-00 MERCY HEALTH WILLARD HOSPITAL, LLC
Print
Covered Entity Details
Entity Name
MERCY HEALTH WILLARD HOSPITAL, LLC
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH361310-00
Entity Address
1100 NEAL ZICK ROAD
WILLARD, OH 44890
Medicare Provider Number
361310
Participating Start Date
4/1/2011
Last Recertification Date
8/22/2024
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
6/15/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
WENDY VOGEL, Hospital CFO II
(419) 964-5631
Contract Pharmacy Representative
Bon Secours Mercy Health
Behlan Ersoy, System Director Specialty Pharmacy
(513) 557-7661
Signed By Date
1/13/2020
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