340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo
Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

OPTUM PHARMACY 806, INC.
CAH451319-00 MOTHER FRANCES HOSPITAL-JACKSONVILLE

Covered Entity Details

Critical Access Hospital
CAH451319-00
2026 S.JACKSON ST.
JACKSONVILLE, TX 75766
451319
1/1/2011
8/19/2024


Pharmacy Details

2288 AUBURN BLVD
STE. 102
SACRAMENTO, CA 95821-1618

Contract Details

4/21/2020
6/8/2020

7/1/2022
Business decision by covered entity and/or pharmacy


Contacts


Barry D. Lofquist, Administrator
(903) 541-4505



Avella
Nancy McCutcheon, Sr VP of Strategic Sales
(651) 983-0677
4/21/2020