340B Drug Pricing Program Database

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OPTUM PHARMACY 805, INC
CH04392B MANTACHIE RURAL HEALTH CARE INC

Covered Entity Details

MANTACHIE RURAL HEALTH CARE, INC. DENTAL
HRSA-Funded Health Center
CH04392B
5500 Highway 363
Mantachie, MS 38855-7197
H80CS00096
4/1/2016
2/24/2025


Pharmacy Details

1101 N CENTRAL AVE, STE 102
PHOENIX, AZ 85004-1829

Contract Details

10/15/2020
1/1/2021

3/20/2024
Ownership change


Contacts


MARJORIE MCKINNEY, CEO
(662) 282-4226 Ext: 114



Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
10/15/2020