Contract Pharmacy Details

OPTUM INFUSION SERVICES 200, INC
CH044310 MCR Health, Inc.

Covered Entity Details

Entity Name

MCR Health, Inc.

Subdivision Name

EDGAR J. PRICE FAMILY & CHILDREN HEALTHCARE CENTER

Type

HRSA-Funded Health Center

340B ID

CH044310

Entity Address

12271 US HIGHWAY 301 NORTH
Parrish, FL 34219-8410

Grant Number

H80CS00097

Participating Start Date

12/1/1992

Last Recertification Date

2/25/2025

Pharmacy Details

Pharmacy Name

OPTUM INFUSION SERVICES 200, INC

Pharmacy Address

5895 CORE RD
STE 417
NORTH CHARLESTON, SC 29406

Pharmacy Comments

Contract Details

Approval Date

7/15/2021

Contract Begin Date

7/26/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Linda Anne Snyder, Chief Compliance Officer/VP Government Affairs,HR
(941) 304-7975

Contract Pharmacy Representative

Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677

Signed By Date

7/15/2021

340B Drug Pricing Program Database