340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM PHARMACY 701, LLC
CAH301304-00 THE NEW LONDON HOSPITAL ASSOCIATION, INC
Print
Covered Entity Details
Entity Name
THE NEW LONDON HOSPITAL ASSOCIATION, INC
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH301304-00
Entity Address
273 COUNTY ROAD
NEW LONDON, NH 03257
Medicare Provider Number
301304
Participating Start Date
9/20/2010
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 701, LLC
Pharmacy Address
1830 S HORNE
MESA, AZ 85204
Pharmacy Comments
Contract Details
Approval Date
4/11/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa A Cohen, Chief Financial Officer
(603) 526-5372
Contract Pharmacy Representative
Optum Pharmacy
Nancy McCutcheon, Sr. VP of Strategic Sales
(651) 983-0677
Signed By Date
4/11/2024
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