340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM FRONTIER THERAPIES II, LLC
FQHCLA397C Health Service Alliance
Print
Covered Entity Details
Entity Name
Health Service Alliance
Subdivision Name
Rancho Cucamonga Community Health Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA397C
Entity Address
10837 Laurel St, Ste 204
Rancho Cucamonga, CA 91730-7657
Grant Number
LALCS33333
Participating Start Date
10/1/2023
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
OPTUM FRONTIER THERAPIES II, LLC
Pharmacy Address
6425 SANTA MARGARITA ST UNIT 120
LAS VEGAS, NV 89118
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christen Grelling, Chief Operations Officer
(909) 464-9675 Ext: 104
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
4/15/2025
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