340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

OPTUM FRONTIER THERAPIES II, LLC
CAH031300-00 WICKENBURG COMMUNITY HOSPITAL ASSOCIATION INC

Covered Entity Details

Critical Access Hospital
CAH031300-00
520 ROSE LANE
WICKENBURG, AZ 85390
031300
4/1/2012
8/15/2024


Pharmacy Details

6425 SANTA MARGARITA ST UNIT 110
LAS VEGAS, NV 89118-1913

Contract Details

4/16/2018
7/1/2018

8/31/2020
Pharmacy closed


Contacts


JIM TAVARY, C.E.O.
(928) 684-4362



Optum RX
Joseph Iovino, VP
(412) 445-4495
4/16/2018