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OPTUM PHARMACY 701, LLC
DSH190176 University Healthcare System.L.C. d/b/a East Jefferson General Hospital
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Covered Entity Details
Entity Name
University Healthcare System.L.C. d/b/a East Jefferson General Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH190176
Entity Address
4200 Houma Blvd.
Metairie, LA 70006
Medicare Provider Number
190176
Participating Start Date
4/1/2023
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 701, LLC
Pharmacy Address
1830 S HORNE
MESA, AZ 85204
Pharmacy Comments
Contract Details
Approval Date
1/15/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bradley Scott Sinclair, CFO
(504) 962-6048
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
1/15/2025
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