340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo

OPTUM PHARMACY 702, LLC
DSH030023 FLAGSTAFF MEDICAL CENTER

Covered Entity Details

Disproportionate Share Hospital
DSH030023
1200 NORTH BEAVER
FLAGSTAFF, AZ 86001
030023
7/1/2009
8/22/2024


Pharmacy Details

1050 PATROL RD
JEFFERSONVILLE, IN 47130

Contract Details

4/16/2019
7/1/2019

6/3/2020
Business decision by covered entity and/or pharmacy


Contacts


Carole Peet, Chief Administrative Officer
(928) 639-6028



Avella
Tammy Sievert, 340B Implementation and Analytics Manager, Corportate
(602) 769-3073
4/16/2019