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OPTUM FRONTIER THERAPIES II, LLC
CHC08737-01 Roanoke Chowan Community Health Center, Inc.
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Covered Entity Details
Entity Name
Roanoke Chowan Community Health Center, Inc.
Subdivision Name
Ahoskie Comprehensive Care
Type
HRSA-Funded Health Center
340B ID
CHC08737-01
Entity Address
120 Health Center Drive
Ahoskie, NC 27910-8131
Grant Number
H80CS08737
Participating Start Date
7/1/2005
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
OPTUM FRONTIER THERAPIES II, LLC
Pharmacy Address
6425 SANTA MARGARITA ST UNIT 110
LAS VEGAS, NV 89118-1913
Pharmacy Comments
Contract Details
Approval Date
3/8/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KIM SCHWARTZ, CEO
(252) 209-0237 Ext: 7124
Contract Pharmacy Representative
Roanoke Chowan Community Health Center
Dean P Jordan, CFO
(252) 209-0237 Ext: 7126
Signed By Date
3/8/2021
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