340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo

OPTUM PHARMACY 702, LLC
DSH010092 DCH REGIONAL MEDICAL CENTER

Covered Entity Details

Disproportionate Share Hospital
DSH010092
809 UNIVERSITY BOULEVARD EAST
TUSCALOOSA, AL 35401
010092
1/1/2004
9/9/2024


Pharmacy Details

1050 PATROL RD
JEFFERSONVILLE, IN 47130

Contract Details

7/17/2017
10/1/2017

4/1/2021
Business decision by covered entity and/or pharmacy


Contacts


NINA DUSANG, CFO
(205) 759-7738



Optum
NATHAN WHITE, Vice President Sales - TPA & Hospital
(813) 949-1951
7/17/2017