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 INFUSION SERVICES 550, LLC
DSH030014 HONORHEALTH JOHN C. LINCOLN MED CTR

Covered Entity Details

Disproportionate Share Hospital
DSH030014
250 E Dunlap Ave
Phoenix, AZ 85020
030014
7/1/2015
8/13/2024


Pharmacy Details

1819 ASTON AVE STE 104
CARLSBAD, CA 92008

Contract Details

7/15/2022
8/16/2022

2/29/2024
Business decision by covered entity and/or pharmacy


Contacts


Gary Baker, SVP-CEO-HOSPITAL
(480) 583-0803



Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
7/15/2022