340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo
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.

DIPLOMAT SPECIALTY PHARMACY
CAH161344-00 WASHINGTON COUNTY HOSPITAL

Covered Entity Details

Critical Access Hospital
CAH161344-00
400 E POLK ST.
WASHINGTON, IA 52353
161344
9/27/2010
8/30/2024


Pharmacy Details

4100 S SAGINAW ST
STE D
FLINT, MI 48507-2683
04/09/2012 update address and name (added suite)

Contract Details

8/3/2021
8/3/2021

1/19/2023
Business decision by covered entity and/or pharmacy


Contacts


Shelli Cleverley, CFO
(319) 863-3902



Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
8/3/2021