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OPTUM PHARMACY 701, LLC
CAH051326-00 PLUMAS DISTRICT HOSPITAL CAH
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Covered Entity Details
Entity Name
PLUMAS DISTRICT HOSPITAL CAH
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051326-00
Entity Address
1065 BUCKS LAKE RD.
QUINCY, CA 95971
Medicare Provider Number
051326
Participating Start Date
1/1/2017
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
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Caleb Johnson, Chief Financial Officer
(530) 283-7952
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
7/15/2024
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