340B Drug Pricing Program Database

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OPTUM PHARMACY 701, LLC
STD89027 Sagebrush Health Services

Covered Entity Details

Mesquite SACI
Sexually Transmitted Diseases
STD89027
340 Falcon Ridge Pkwy
#202B
Mesquite, NV 89027
6 NH25PS005179-05-03
5/1/2023
6/1/2024
1/14/2025


Pharmacy Details

8131 W BOSTIAN RD STE A350
WOODINVILLE, WA 98072-5029

Contract Details

5/1/2023
6/14/2023

1/14/2025
Covered Entity Terminated


Contacts


Jami Dybik, Vice President
(843) 814-5177



Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
4/16/2023