340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM PHARMACY 800, INC.
CAH181328-00 ARH Mary Breckinridge Health Services, Inc.
Print
Covered Entity Details
Entity Name
ARH Mary Breckinridge Health Services, Inc.
Subdivision Name
Barbourville ARH Hospital
Type
Critical Access Hospital
340B ID
CAH181328-00
Entity Address
80 HOSPITAL DRIVE
BARBOURVILLE, KY 40906
Medicare Provider Number
181328
Participating Start Date
1/1/2016
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 800, INC.
Pharmacy Address
3016 GUADALUPE ST STE A
AUSTIN, TX 78705-2861
Pharmacy Comments
Contract Details
Approval Date
1/11/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/30/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
Joseph Grossman, PRESIDENT and CEO
(859) 226-2450
Contract Pharmacy Representative
Avella
Nancy McCutcheon, Senior Vice President, Strategic Services
(651) 983-0677
Signed By Date
1/11/2018
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