340B Drug Pricing Program Database

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OPTUM FRONTIER THERAPIES II, 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

6425 SANTA MARGARITA ST UNIT 110
LAS VEGAS, NV 89118-1913

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