340B Drug Pricing Program Database

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OPTUM PHARMACY 705, LLC
DSH130049 KOOTENAI HEALTH INC

Covered Entity Details

KOOTENAI HEALTH
Disproportionate Share Hospital
DSH130049
2003 Kootenai Health Way
COEUR DALENE, ID 83814
130049
7/1/2021
8/20/2024
7/1/2025


Pharmacy Details

1100 LEE BRANCH LN
BIRMINGHAM, AL 35242-7298

Contract Details

1/5/2018
4/1/2018

4/1/2019
Covered Entity Terminated


Contacts


John Adams, Controller
(208) 625-4360



Briova Rx
Joe Iovino, Manager
(412) 445-4495
1/5/2018