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OPTUM PHARMACY 702, LLC
CAH271340-00 Marcus Daly Memorial Hospital Corp
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Covered Entity Details
Entity Name
Marcus Daly Memorial Hospital Corp
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH271340-00
Entity Address
1200 Westwood Dr
Hamilton, MT 59840
Medicare Provider Number
271340
Participating Start Date
4/1/2013
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 702, LLC
Pharmacy Address
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Bishop, CEO
(406) 375-4409
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
4/15/2024
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