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 INFUSION SERVICES 550, LLC
CH100460 COLUMBIA BASIN HEALTH ASSOCIATION

Covered Entity Details

OTHELLO CLINIC
HRSA-Funded Health Center
CH100460
1515 E. Columbia St.
Othello, WA 99344-1040
H80CS00147
12/1/1992
2/7/2024


Pharmacy Details

1819 ASTON AVE STE 104
CARLSBAD, CA 92008

Contract Details

7/15/2024
10/1/2024


Contacts


Nieves Gomez, Chief Executive Officer
(509) 488-5256



Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
7/15/2024