340B Drug Pricing Program Database

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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 702, LLC
CAH051333-00 Ridgecrest Regional Hospital

Covered Entity Details

Critical Access Hospital
CAH051333-00
1081 N. China Lake Blvd.
Ridgecrest, CA 93555
051333
10/1/2013
8/15/2024


Pharmacy Details

1050 PATROL RD
JEFFERSONVILLE, IN 47130

Contract Details

4/9/2021
4/19/2021

1/6/2022
Business decision by covered entity and/or pharmacy


Contacts


James Suver, CEO
(760) 499-3902



Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
4/9/2021