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OPTUM PHARMACY 706, INC.
CH03702A UNITY HEALTH CARE INC
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Covered Entity Details
Entity Name
UNITY HEALTH CARE INC
Subdivision Name
Upper Cardozo Health Center
Type
HRSA-Funded Health Center
340B ID
CH03702A
Entity Address
3020 14th Street, NW
Washington, DC 20009
Grant Number
H80CS00070
Participating Start Date
1/1/2004
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 706, INC.
Pharmacy Address
30-30 47TH AVENUE
SUITE 410
LONG ISLAND CITY, NY 11101
Pharmacy Comments
Contract Details
Approval Date
1/14/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
VINCENT A. KEANE, CEO
(202) 715-6562
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
1/14/2021
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