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OPTUM PHARMACY 701, LLC
CH090130 SUNSET COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
SUNSET COMMUNITY HEALTH CENTER
Subdivision Name
SUNSET COMMUNITY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH090130
Entity Address
115 NORTH SOMERTON AVENUE
SOMERTON, AZ 85350-0538
Grant Number
H80CS04321
Participating Start Date
7/1/1997
Last Recertification Date
2/17/2025
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
1/18/2022
Contract Begin Date
1/25/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DAVID D ROGERS, CEO
(928) 819-8802
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
1/18/2022
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