340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo

OPTUM PHARMACY 706, INC.
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

30-30 47TH AVENUE
SUITE 410
LONG ISLAND CITY, NY 11101

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