340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM PHARMACY 702, LLC
CAH201316-00 MaineHealth Franklin Hospital
Print
Covered Entity Details
Entity Name
MaineHealth Franklin Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH201316-00
Entity Address
111 Franklin Health Commons
Farmington, ME 04938
Medicare Provider Number
201316
Participating Start Date
8/20/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 702, LLC
Pharmacy Address
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
8/20/2024
Contract Begin Date
8/20/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Daniel Bazemore, Chief Financial Officer
(207) 779-2114
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
7/19/2024
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