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OPTUM PHARMACY 702, LLC
CAH531308-00 JOHNSON COUNTY HEALTHCARE
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Covered Entity Details
Entity Name
JOHNSON COUNTY HEALTHCARE
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH531308-00
Entity Address
497 W LOTT St
BUFFALO, WY 82834
Medicare Provider Number
531308
Participating Start Date
7/1/2018
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 702, LLC
Pharmacy Address
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
10/5/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Luke Senden, CEO
(307) 684-6188
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
10/5/2021
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