340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM PHARMACY 702, LLC
CAH351308-00 NELSON COUNTY HEALTH SYSTEM-HOSPITAL
Print
Covered Entity Details
Entity Name
NELSON COUNTY HEALTH SYSTEM-HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH351308-00
Entity Address
200 NORTH MAIN STREET
MCVILLE, ND 58254
Medicare Provider Number
351308
Participating Start Date
7/1/2017
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 702, LLC
Pharmacy Address
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
10/17/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Samantha Harding Harding, CEO
(701) 322-4314
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
10/17/2022
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