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OPTUM PHARMACY 702, LLC
CAH431328-00 Pioneer Memorial Hospital & Health Services
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Covered Entity Details
Entity Name
Pioneer Memorial Hospital & Health Services
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH431328-00
Entity Address
315 N Washington St
Viborg, SD 57070-0368
Medicare Provider Number
431328
Participating Start Date
4/1/2013
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 702, LLC
Pharmacy Address
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
1/11/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Anne Marie Christiansen, CFO
(605) 326-3004
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
1/11/2023
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