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HARNESS HEALTH PHARMACY
DSH360276B ST ELIZABETH BOARDMAN HEALTH CTR
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Covered Entity Details
Entity Name
ST ELIZABETH BOARDMAN HEALTH CTR
Subdivision Name
Mercy Health / Anticoagulation/Medication Management Clinic
Type
Disproportionate Share Hospital
340B ID
DSH360276B
Entity Address
45 MCCLURG ROAD
BOARDMAN, OH 44512
Medicare Provider Number
360276
Outpatient Facility Provider Number
Participating Start Date
10/1/2017
Last Recertification Date
9/6/2022
Entity Termination Date
4/1/2023
Pharmacy Details
Pharmacy Name
HARNESS HEALTH PHARMACY
Pharmacy Address
7160 INDUSTRIAL ROW DR
SUITE 330
MASON, OH 45040
Pharmacy Comments
Contract Details
Approval Date
8/7/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/22/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Anthony Seminaro, CFO, Markets
(941) 587-1220
Contract Pharmacy Representative
Mercy Health Pharmacy
Scott Spille, System Director - Retail Pharmacy
(859) 814-9786
Signed By Date
8/7/2017
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