340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM FRONTIER THERAPIES II, LLC
PED363303-00 CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON
Print
Covered Entity Details
Entity Name
CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON
Subdivision Name
Type
Children's Hospital
340B ID
PED363303-00
Entity Address
ONE PERKINS SQUARE
AKRON, OH 44308-1063
Medicare Provider Number
363303
Participating Start Date
2/26/2010
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
OPTUM FRONTIER THERAPIES II, LLC
Pharmacy Address
6425 SANTA MARGARITA ST UNIT 110
LAS VEGAS, NV 89118-1913
Pharmacy Comments
Contract Details
Approval Date
9/29/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Alicia Lamancusa, Vice President Finance
(330) 543-8171
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
9/29/2023
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