340B Drug Pricing Program Database

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OPTUM PHARMACY 701, LLC
DSH500050 PeaceHealth Southwest Medical Center

Covered Entity Details

Disproportionate Share Hospital
DSH500050
400 NE Mother Joseph Place
VANCOUVER, WA 98664
500050
4/1/2005
8/14/2024


Pharmacy Details

1830 S HORNE
MESA, AZ 85204

Contract Details

10/9/2024
1/1/2025


Contacts


Tracey Fernandez, CFO
(360) 514-3548



Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
10/9/2024