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OPTUMRX
CH090470 GOLDEN VALLEY HEALTH CENTERS
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Covered Entity Details
Entity Name
GOLDEN VALLEY HEALTH CENTERS
Subdivision Name
GVHC - MERCED SUITES
Type
HRSA-Funded Health Center
340B ID
CH090470
Entity Address
847 W. CHILDS AVE
MERCED, CA 95341-6862
Grant Number
H80CS00742
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
OPTUMRX
Pharmacy Address
2858 LOKER AVE E STE 100
CARLSBAD, CA 92010-6608
Pharmacy Comments
Contract Details
Approval Date
10/13/2020
Contract Begin Date
10/23/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/30/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Gurjeet Sandhu, Vice President and Chief Financial Officer
(209) 384-6516
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
10/13/2020
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