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OPTUM FRONTIER THERAPIES II, LLC
DSH360020 SUMMA HEALTH SYSTEM
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Covered Entity Details
Entity Name
SUMMA HEALTH SYSTEM
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360020
Entity Address
525 E. MARKET STREET
AKRON, OH 44309
Medicare Provider Number
360020
Participating Start Date
10/1/2017
Last Recertification Date
8/26/2024
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
4/13/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/4/2020
Pharmacy closed
Contacts
Covered Entity Signing Official
Thomas Clifford Deveny, President and CEO
(234) 312-5050
Contract Pharmacy Representative
Avella/BriovaRx
Paul Leschinert, National Account Manager,340B Sales
(847) 409-0200
Signed By Date
4/13/2020
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