340B Drug Pricing Program Database

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OPTUM PHARMACY 702, LLC
CHC26564-03 SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER

Covered Entity Details

Four Rivers Community Health Center
HRSA-Funded Health Center
CHC26564-03
1081 E 18th St
Rolla, MO 65401
H80CS26564
1/1/2017
2/21/2025


Pharmacy Details

1050 PATROL RD
JEFFERSONVILLE, IN 47130

Contract Details

10/15/2021
1/1/2022


Contacts


Stuart Gipson, CEO
(573) 426-6714



Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
10/15/2021