340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM FRONTIER THERAPIES II, LLC
CHC33644-00 MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Print
Covered Entity Details
Entity Name
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Subdivision Name
Valleywise Health Administrative Building
Type
HRSA-Funded Health Center
340B ID
CHC33644-00
Entity Address
2601 E Roosevelt St
Phoenix, AZ 85008
Grant Number
H80CS33644
Participating Start Date
1/1/2020
Last Recertification Date
2/19/2025
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
1/10/2020
Contract Begin Date
1/10/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/23/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Richard Mutarelli, Executive Vice President, Chief Financial Officer
(602) 344-8425
Contract Pharmacy Representative
Briova Rx
Joe Iovino, Manager
(412) 445-4495
Signed By Date
1/10/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session