340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo

OPTUM PHARMACY 702, LLC
DSH130025 MADISON MEMORIAL HOSPITAL

Covered Entity Details

Disproportionate Share Hospital
DSH130025
450 EAST MAIN
REXBURG, ID 83440
130025
7/1/2009
8/21/2024


Pharmacy Details

1050 PATROL RD
JEFFERSONVILLE, IN 47130

Contract Details

10/17/2022
1/1/2023


Contacts


Rachel Gonzales, CEO
(208) 356-3691



Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
10/17/2022