Organization
MERCY HEALTH - CLERMONT HOSPITAL LLC
Active
Other names
Harness Health Pharmacy #301
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RALSTON (SYSTEM DIRECTOR)
(419) 996-5119
Entity
Organization
Contact information
Practice address
2055 HOSPITAL DR STE 100, BATAVIA, OH 45103-1964
(513) 732-8517
Mailing address
2055 HOSPITAL DR STE 100, BATAVIA, OH 45103-1964
(513) 732-8517
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022633450
OH
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164553
PK
—
Enumeration date
10/11/2016
Last updated
04/21/2023
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