Contract Pharmacy Details

OPTUM PHARMACY 702, LLC
CH09848T COUNTY OF VENTURA

Covered Entity Details

Entity Name

COUNTY OF VENTURA

Subdivision Name

Santa Paula West

Type

HRSA-Funded Health Center

340B ID

CH09848T

Entity Address

254 W. Harvard Blvd.
Santa Paula, CA 93060-3919

Grant Number

H80CS00247

Participating Start Date

10/9/2008

Last Recertification Date

3/4/2025

Pharmacy Details

Pharmacy Name

OPTUM PHARMACY 702, LLC

Pharmacy Address

1050 PATROL RD
JEFFERSONVILLE, IN 47130

Pharmacy Comments

Contract Details

Approval Date

4/14/2022

Contract Begin Date

7/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Theresa Cho, Chief Executive Officer, Ambulatory Care
(805) 652-6228

Contract Pharmacy Representative

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

Signed By Date

4/14/2022

340B Drug Pricing Program Database