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OPTUM PHARMACY 702, LLC
CHC29020-00 COMPASS COMMUNITY HEALTH
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Covered Entity Details
Entity Name
COMPASS COMMUNITY HEALTH
Subdivision Name
Compass Community Health
Type
HRSA-Funded Health Center
340B ID
CHC29020-00
Entity Address
1634 11th Street
Portsmouth, OH 45662-4526
Grant Number
H80CS29020
Participating Start Date
1/1/2016
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 702, LLC
Pharmacy Address
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
4/1/2022
Contract Begin Date
4/4/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Summer M Kirby, CEO
(740) 351-1514
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
4/1/2022
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