Contract Pharmacy Details

OPTUM PHARMACY 701, LLC
CH030700 CENTRAL VIRGINIA HEALTH SERVICES, INC.

Covered Entity Details

Entity Name

CENTRAL VIRGINIA HEALTH SERVICES, INC.

Subdivision Name

CVHS Buckingham

Type

HRSA-Funded Health Center

340B ID

CH030700

Entity Address

25892 N James Madison Hwy
New Canton, VA 23123-2234

Grant Number

H80CS00479

Participating Start Date

7/1/1995

Last Recertification Date

2/28/2025

Pharmacy Details

Pharmacy Name

OPTUM PHARMACY 701, LLC

Pharmacy Address

4015 SHOPTON RD STE 600
CHARLOTTE, NC 28217-3025

Pharmacy Comments

Contract Details

Approval Date

1/10/2022

Contract Begin Date

4/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Paula Anne Tomko, Chief Executive Officer
(434) 581-3276

Contract Pharmacy Representative

Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677

Signed By Date

1/10/2022

340B Drug Pricing Program Database