340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

OPTUM PHARMACY 701, LLC
CAH151330-00 ADAMS COUNTY MEMORIAL HOSPITAL DBA ADAMS MEMORIAL HOSPITAL

Covered Entity Details

Critical Access Hospital
CAH151330-00
1100 MERCER AVE
DECATUR, IN 46733-0151
151330
9/14/2010
8/19/2024


Pharmacy Details

4015 SHOPTON RD STE 600
CHARLOTTE, NC 28217-3025

Contract Details

7/11/2024
10/1/2024


Contacts


Scott Smith, Executive Director
(260) 724-2145 Ext: 11002



Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
7/11/2024