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HARNESS HEALTH PHARMACY
DSH360066 ST. RITAS MEDICAL CENTER LLC
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Covered Entity Details
Entity Name
ST. RITAS MEDICAL CENTER LLC
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360066
Entity Address
730 W MARKET ST
LIMA, OH 45801
Medicare Provider Number
360066
Participating Start Date
10/1/2019
Last Recertification Date
9/8/2020
Entity Termination Date
7/26/2021
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
7/26/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
TIM RIEGER, Regional CFO & VP of Finance
(419) 226-9775
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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