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OPTUM PHARMACY 701, LLC
CH03702A UNITY HEALTH CARE INC
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Covered Entity Details
Entity Name
UNITY HEALTH CARE INC
Subdivision Name
Upper Cardozo Health Center
Type
HRSA-Funded Health Center
340B ID
CH03702A
Entity Address
3020 14th Street, NW
Washington, DC 20009
Grant Number
H80CS00070
Participating Start Date
1/1/2004
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 701, LLC
Pharmacy Address
4100 S SAGINAW ST STE D
FLINT, MI 48507
Pharmacy Comments
Contract Details
Approval Date
10/17/2022
Contract Begin Date
10/18/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jessica H. Boyd, CEO
(202) 672-3091
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
10/17/2022
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