340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM FRONTIER THERAPIES II, LLC
PED053301-00 CHILDRENS HOSP & RES CNTR OAKLAND
Print
Covered Entity Details
Entity Name
CHILDRENS HOSP & RES CNTR OAKLAND
Subdivision Name
Type
Children's Hospital
340B ID
PED053301-00
Entity Address
747 52ND STREET
OAKLAND, CA 94609-1809
Medicare Provider Number
053301
Participating Start Date
10/1/2019
Last Recertification Date
8/12/2024
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
7/7/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/17/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Jamie Christine Phillips, Chief Operating Officer
(415) 353-9116
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
7/7/2020
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