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OPTUM FRONTIER THERAPIES II, LLC
RRC030038-00 HONORHEALTH SCOTTSDALE OSBORN MED CT
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Covered Entity Details
Entity Name
HONORHEALTH SCOTTSDALE OSBORN MED CT
Subdivision Name
Type
Rural Referral Center
340B ID
RRC030038-00
Entity Address
7400 E Osborn Rd
Scottsdale, AZ 85251
Medicare Provider Number
030038
Participating Start Date
7/1/2019
Last Recertification Date
8/23/2023
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
OPTUM FRONTIER THERAPIES II, LLC
Pharmacy Address
6425 SANTA MARGARITA ST UNIT 110
LAS VEGAS, NV 89118-1913
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/12/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Gary Baker, SVP-CEO-HOSPITAL
(480) 583-0803
Contract Pharmacy Representative
Briova Rx
Joe Iovino, Manager
(412) 445-4495
Signed By Date
10/15/2019
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