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OPTUM PHARMACY 700, LLC
CHC06672-00 Community of Hope Inc
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Covered Entity Details
Entity Name
Community of Hope Inc
Subdivision Name
COMMUNITY OF HOPE HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CHC06672-00
Entity Address
2155 Champlain St NW
Washington, DC 20009-2618
Grant Number
H80CS06672
Participating Start Date
7/1/2013
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 700, LLC
Pharmacy Address
19 CHAPIN RD BLDG D, STE D8
PINE BROOK, NJ 07058
Pharmacy Comments
Contract Details
Approval Date
1/14/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kelly Sweeney McShane, Executive director
(202) 407-7747 Ext: 2024077746
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
1/14/2022
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