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OPTUM FRONTIER THERAPIES, LLC
PED053305-00 LUCILE PACKARD CHILDREN'S HOSPITAL
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Covered Entity Details
Entity Name
LUCILE PACKARD CHILDREN'S HOSPITAL
Subdivision Name
Type
Children's Hospital
340B ID
PED053305-00
Entity Address
725 WELCH ROAD
PALO ALTO, CA 94304
Medicare Provider Number
053305
Participating Start Date
1/19/2010
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
OPTUM FRONTIER THERAPIES, LLC
Pharmacy Address
325 W ATHERTON RD
SUITE 1
FLINT, MI 48507-2601
Pharmacy Comments
Contract Details
Approval Date
1/17/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/19/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Rishi Seth, Vice President of Operations
(650) 724-3951
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
1/17/2024
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