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HARNESS HEALTH PHARMACY
CAH361310-00 MERCY HEALTH WILLARD HOSPITAL, LLC
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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
SUITE 330
MASON, OH 45040
Pharmacy Comments
Contract Details
Approval Date
7/15/2016
Contract Begin Date
10/1/2016
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
LYNN DETTERMAN, PRESIDENT & CEO
(419) 964-5101
Contract Pharmacy Representative
Mercy Health Pharmacy
Scott Spille, System Director - Retail Pharmacy
(859) 814-9786
Signed By Date
7/15/2016
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