340B Drug Pricing Program Database
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OPTUM PHARMACY 701, LLC
HV90008 T.H.E. CLINIC INC.
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Covered Entity Details
Entity Name
T.H.E. CLINIC INC.
Subdivision Name
Type
Ryan White Part C
340B ID
HV90008
Entity Address
3834 S. Western Avenue
Los Angeles, CA 90062
Grant Number
H76HA00734
Participating Start Date
7/1/2003
Last Recertification Date
2/20/2025
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
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