340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM PHARMACY 702, LLC
CAH141331-00 MARSHALL BROWNING HOSPITAL ASSOCIATION
Print
Covered Entity Details
Entity Name
MARSHALL BROWNING HOSPITAL ASSOCIATION
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141331-00
Entity Address
900 NORTH WASHINGTON STREET
DU QUOIN, IL 62832
Medicare Provider Number
141331
Participating Start Date
10/1/2016
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
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/8/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Daniel Eaves, CEO
(618) 542-1042
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
7/15/2020
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