340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTION CARE ENTERPRISES, INC.
RRC110074-00 PIEDMONT ATHENS REGIONAL MEDICAL CE
Print
Covered Entity Details
Entity Name
PIEDMONT ATHENS REGIONAL MEDICAL CE
Subdivision Name
Type
Rural Referral Center
340B ID
RRC110074-00
Entity Address
1199 PRINCE AVENUE
ATHENS, GA 30306
Medicare Provider Number
110074
Participating Start Date
12/4/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
OPTION CARE ENTERPRISES, INC.
Pharmacy Address
OPTION CARE
5854 PEACHTREE CORNERS EAST
SUITE 200
PEACHTREE CORNERS, GA 30092-3410
Pharmacy Comments
Contract Details
Approval Date
10/21/2024
Contract Begin Date
12/9/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Justin Roberts, CFO
(706) 475-3463
Contract Pharmacy Representative
Option Care
Derek Bilyk, Program Manager, Health Systems
(224) 813-1283
Signed By Date
10/15/2024
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