340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM INFUSION SERVICES 500, INC.
HM1592 CHILDREN'S MEDICAL CENTER OF DALLAS
Print
Covered Entity Details
Entity Name
CHILDREN'S MEDICAL CENTER OF DALLAS
Subdivision Name
NORTH TEXAS HEMOPHILIA CENTER
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM1592
Entity Address
1935 Medical District Drive
DALLAS, TX 75235
Grant Number
5 H30MC24051-14-00
Participating Start Date
10/1/1996
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
OPTUM INFUSION SERVICES 500, INC.
Pharmacy Address
4900 RIVERGRADE RD STE E120
IRWINDALE, CA 91706-1419
Pharmacy Comments
Contract Details
Approval Date
7/8/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeremiah Radandt, President Corporate Services & CFO
(214) 456-2522
Contract Pharmacy Representative
Avella
Nancy McCutcheon, Sr VP of Strategic Sales
(651) 983-0677
Signed By Date
7/8/2021
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