Contract Pharmacy Details

OPTUM INFUSION SERVICES 209, INC.
DSH010005 HH Health System - Marshall LLC

Covered Entity Details

Entity Name

HH Health System - Marshall LLC

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH010005

Entity Address

2505 U.S. HIGHWAY 431
BOAZ, AL 35957

Medicare Provider Number

010005

Participating Start Date

4/1/2016

Last Recertification Date

9/4/2024

Pharmacy Details

Pharmacy Name

OPTUM INFUSION SERVICES 209, INC.

Pharmacy Address

425 FRANKLIN GATEWAY
SUITE 535
MARIETTA, GA 30067-7736

Pharmacy Comments

Contract Details

Approval Date

10/13/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Taylor Walker, CFO
(256) 894-6712

Contract Pharmacy Representative

Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677

Signed By Date

10/13/2023

340B Drug Pricing Program Database