340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM PHARMACY 701, LLC
RRC300019-00 CHESHIRE MEDICAL CENTER
Print
Covered Entity Details
Entity Name
CHESHIRE MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC300019-00
Entity Address
580 COURT STREET
KEENE, NH 03431
Medicare Provider Number
300019
Participating Start Date
7/1/2023
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 701, LLC
Pharmacy Address
1830 S HORNE
MESA, AZ 85204
Pharmacy Comments
Contract Details
Approval Date
4/17/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kathryn Willbarger, COO
(603) 354-5488
Contract Pharmacy Representative
Optum Pharmacy
Nancy McCutcheon, Sr. VP of Strategic Sales
(651) 983-0677
Signed By Date
4/17/2024
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