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OPTUM PHARMACY 702, LLC
CAH301303-00 WEEKS MEDICAL CENTER
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Covered Entity Details
Entity Name
WEEKS MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH301303-00
Entity Address
173 MIDDLE STREET
LANCASTER, NH 03584
Medicare Provider Number
301303
Participating Start Date
9/24/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 702, LLC
Pharmacy Address
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
7/6/2022
Contract Begin Date
7/26/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/6/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Suzanne Landry, Vice President
(603) 326-5608
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
7/6/2022
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