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HARNESS HEALTH PHARMACY
DSH360089 MERCY HEALTH-TIFFIN HOSPITAL LLC
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Covered Entity Details
Entity Name
MERCY HEALTH-TIFFIN HOSPITAL LLC
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360089
Entity Address
45 ST LAWRENCE DRIVE
TIFFIN, OH 44883
Medicare Provider Number
360089
Participating Start Date
10/1/2023
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
HARNESS HEALTH PHARMACY
Pharmacy Address
7160 INDUSTRIAL ROW DR
SUITE 330
MASON, OH 45040
Pharmacy Comments
Contract Details
Approval Date
8/2/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/15/2024
Ownership change
Contacts
Covered Entity Signing Official
Emily Wagner, CFO, Mercy Health - Tiffin & Willard
(419) 455-7053
Contract Pharmacy Representative
Harness Health Pharmacy
Brent Kovalyak, System Director of Pharmacy Operations
(513) 305-6835
Signed By Date
7/13/2023
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