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OPTUM INFUSION SERVICES 501, INC.
CH092440 CLINIC INC, THE
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Covered Entity Details
Entity Name
CLINIC INC, THE
Subdivision Name
T.H.E. CLINIC, INC.
Type
HRSA-Funded Health Center
340B ID
CH092440
Entity Address
3834 S. WESTERN AVE
LOS ANGELES, CA 90062-1104
Grant Number
H80CS00755
Participating Start Date
7/1/2003
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
OPTUM INFUSION SERVICES 501, INC.
Pharmacy Address
8131 W BOSTIAN RD
STE. A345
WOODINVILLE, WA 98072
Pharmacy Comments
Contract Details
Approval Date
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/5/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Clifford Shiepe, President and CEO
(323) 730-1920 Ext: 3053
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
10/15/2021
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