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OPTUM INFUSION SERVICES 305, LLC
CH092420 OLE HEALTH
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Covered Entity Details
Entity Name
OLE HEALTH
Subdivision Name
OLE Health - North Napa Campus
Type
HRSA-Funded Health Center
340B ID
CH092420
Entity Address
1141 PEAR TREE LANE
Suite 100
NAPA, CA 94558-6485
Grant Number
H80CS04219
Participating Start Date
10/1/2004
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
OPTUM INFUSION SERVICES 305, LLC
Pharmacy Address
15529 COLLEGE BLVD.
LENEXA, KS 66219-1351
Pharmacy Comments
Contract Details
Approval Date
10/11/2022
Contract Begin Date
11/9/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kevin E. Moses, Legal Officer
(707) 254-1774 Ext: 8222
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
10/11/2022
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