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OPTUM PHARMACY 705, LLC
CHC29020-01 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
CHC29020-01
Entity Address
411 Court Street
Portsmouth, OH 45662-3932
Grant Number
H80CS29020
Participating Start Date
1/1/2018
Last Recertification Date
2/7/2022
Entity Termination Date
10/1/2022
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 705, LLC
Pharmacy Address
1893 GENERAL GEORGE PATTON DR
STE 106
FRANKLIN, TN 37067-2655
Pharmacy Comments
Contract Details
Approval Date
4/1/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
Covered Entity Terminated
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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