340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM PHARMACY 702, LLC
DSH310064 ATLANTICARE REGIONAL MEDICAL CENTER
Print
Covered Entity Details
Entity Name
ATLANTICARE REGIONAL MEDICAL CENTER
Subdivision Name
CITY DIVISION
Type
Disproportionate Share Hospital
340B ID
DSH310064
Entity Address
1925 PACIFIC AVENUE
ATLANTIC CITY, NJ 08401
Medicare Provider Number
310064
Participating Start Date
7/1/2012
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 702, LLC
Pharmacy Address
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
4/14/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Hak Kim, Chief Financial Officer
(609) 569-7031
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
4/14/2020
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