340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM PHARMACY 701, LLC
CAH061322-00 Salida Hospital District DBA Heart of the Rockies Regional Medical Center
Print
Covered Entity Details
Entity Name
Salida Hospital District DBA Heart of the Rockies Regional Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH061322-00
Entity Address
1000 Rush Drive
Salida, CO 81201
Medicare Provider Number
061322
Participating Start Date
1/1/2012
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 701, LLC
Pharmacy Address
4100 S SAGINAW ST STE D
FLINT, MI 48507
Pharmacy Comments
Contract Details
Approval Date
4/1/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Karen S Miller, CFO
(719) 530-2213
Contract Pharmacy Representative
Optum
Kevin Hockley, optum
(612) 474-6761
Signed By Date
4/1/2025
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