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OPTUM PHARMACY 806, INC.
HV08949 University of North Carolina at Chapel Hill Infectious Diseases Clinic
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Covered Entity Details
Entity Name
University of North Carolina at Chapel Hill Infectious Diseases Clinic
Subdivision Name
Type
Ryan White Part C
340B ID
HV08949
Entity Address
100 Eastowne Drive
Floors 5 and 6
Chapel Hill, NC 27514
Grant Number
H76HA08949
Participating Start Date
10/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 806, INC.
Pharmacy Address
2288 AUBURN BLVD
STE. 102
SACRAMENTO, CA 95821-1618
Pharmacy Comments
Contract Details
Approval Date
7/8/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/12/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Catherine Stone, Director, OPSCA
(262) 422-8249
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
7/8/2021
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