340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM INFUSION SERVICES 301, LP
DSH370037 SSM HEALTH ST ANTHONY HOSPITAL - OKC
Print
Covered Entity Details
Entity Name
SSM HEALTH ST ANTHONY HOSPITAL - OKC
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH370037
Entity Address
1000 North Lee Ave
OKLAHOMA CITY, OK 73102
Medicare Provider Number
370037
Participating Start Date
10/1/2006
Last Recertification Date
8/31/2024
Pharmacy Details
Pharmacy Name
OPTUM INFUSION SERVICES 301, LP
Pharmacy Address
7512 NORTH BROADWAY EXT STE 308
OKLAHOMA CITY, OK 73116-9055
Pharmacy Comments
Contract Details
Approval Date
7/2/2020
Contract Begin Date
7/29/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Shasta Manuel, VP of Finance CFO
(405) 272-7282
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
7/2/2020
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