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OPTUM PHARMACY 702, LLC
CHC29017-00 COMMUNITY HEALTH PROJECT, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH PROJECT, INC.
Subdivision Name
Callen-Lorde Bronx
Type
HRSA-Funded Health Center
340B ID
CHC29017-00
Entity Address
3144 3RD AVE
BRONX, NY 10451-4629
Grant Number
H80CS29017
Participating Start Date
10/1/2016
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 702, LLC
Pharmacy Address
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
7/14/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Wendy Stark, Executive Director
(212) 271-7147
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
7/14/2021
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