Contract Pharmacy Details

OPTUM PHARMACY 701, LLC
FP900083 T.H.E. CLINIC INC

Covered Entity Details

Entity Name

T.H.E. CLINIC INC

Subdivision Name

CLINIC

Type

Family Planning (Title X only)

340B ID

FP900083

Entity Address

3834 SOUTH WESTERN AVENUE
LOS ANGELES, CA 90062

Grant Number

FPHPA006537

Participating Start Date

1/1/1998

Last Recertification Date

5/6/2025

Pharmacy Details

Pharmacy Name

OPTUM PHARMACY 701, LLC

Pharmacy Address

8131 W BOSTIAN RD STE A350
WOODINVILLE, WA 98072-5029

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
Agreement registered in error

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

340B Drug Pricing Program Database