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OPTUM PHARMACY 702, LLC
RWI33136 University of Miami AIDS Clinical Research Unit
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Covered Entity Details
Entity Name
University of Miami AIDS Clinical Research Unit
Subdivision Name
Type
Ryan White Part A
340B ID
RWI33136
Entity Address
1951 NW 7th avenue Suite 480
Miami, FL 33136-1018
Grant Number
H89HA00005
Participating Start Date
7/1/2013
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 702, LLC
Pharmacy Address
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
4/13/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Margaret A. Fischl, Professor of Medicine, Director UM AIDS Clinical Research Unit
(305) 243-3847
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
4/13/2020
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