340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM FRONTIER THERAPIES II, LLC
PED243300-00 GILLETTE CHILDREN'S SPECIALTY HEALTHCARE
Print
Covered Entity Details
Entity Name
GILLETTE CHILDREN'S SPECIALTY HEALTHCARE
Subdivision Name
Type
Children's Hospital
340B ID
PED243300-00
Entity Address
200 UNIVERSITY AVENUE EAST
ST. PAUL, MN 55101
Medicare Provider Number
243300
Participating Start Date
7/1/2019
Last Recertification Date
8/19/2024
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
10/14/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Patrick Michael Nolan, Chief Financial Officer
(651) 312-3105
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
10/14/2023
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