340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

OPTUM PHARMACY 704, INC.


OPTUM PHARMACY 704, INC.

5627 UNIVERSITY HTS STE 108
SAN ANTONIO, TX 78249



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Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
 
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DetailsCAH031312-00Bisbee Hospital Association dba Copper Queen Community Hospital Critical Access Hospital101 Cole Ave
BisbeeAZ04/01/2021 4/1/2021 12:01 AM
DetailsCAH041308-00MCGEHEE HOSPITAL INC. Critical Access Hospital900 South 3rd
MCGEHEEAR01/01/2023 1/1/2023 12:01 AM
DetailsCAH041331-00OZARKS COMMUNITY HOSPITAL OF GRAVETT Critical Access Hospital1101 JACKSON ST SW
GRAVETTEAR10/01/2022 10/1/2022 12:01 AM
DetailsCAH051316-00Fairchild Medical Center Critical Access Hospital444 Bruce St
YrekaCA07/01/2023 7/1/2023 12:01 AM
DetailsCAH051326-00PLUMAS DISTRICT HOSPITAL CAH Critical Access Hospital1065 BUCKS LAKE RD.
QUINCYCA10/01/2022 10/1/2022 12:01 AM
DetailsCAH061307-00Rangely Hospital District Critical Access Hospital225 Eagle Crest St
RangelyCO04/01/202103/21/20237/8/2024 11:19 AM
DetailsCAH061312-00ESTES PARK HEALTH Critical Access Hospital555 PROSPECT AVE.
ESTES PARKCO10/01/2024 7/11/2024 5:21 PM
DetailsCAH061322-00Salida Hospital District DBA Heart of the Rockies Regional Medical Center Critical Access Hospital1000 Rush Drive
SalidaCO01/01/2022 1/1/2022 12:01 AM
DetailsCAH151327-00Sullivan County Community HospitalSULLIVAN COUNTY COMMUNITY HOSPITALCritical Access Hospital2200 NORTH SECTION STREET
SULLIVANIN01/01/2022 1/1/2022 12:01 AM
DetailsCAH151330-00ADAMS COUNTY MEMORIAL HOSPITAL DBA ADAMS MEMORIAL HOSPITAL Critical Access Hospital1100 MERCER AVE
DECATURIN10/01/2024 7/11/2024 6:28 PM
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