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OPTUM PHARMACY 702, LLC
CAH161344-00 WASHINGTON COUNTY HOSPITAL
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Covered Entity Details
Entity Name
WASHINGTON COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161344-00
Entity Address
400 E POLK ST.
WASHINGTON, IA 52353
Medicare Provider Number
161344
Participating Start Date
9/27/2010
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 702, LLC
Pharmacy Address
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
8/3/2021
Contract Begin Date
8/3/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shelli Cleverley, CFO
(319) 863-3902
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
8/3/2021
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