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OPTUM PHARMACY 702, LLC
CH09087B ALAMEDA, COUNTY OF
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Covered Entity Details
Entity Name
ALAMEDA, COUNTY OF
Subdivision Name
EASTMONT WELLNESS
Type
HRSA-Funded Health Center
340B ID
CH09087B
Entity Address
6955 Foothill Blvd
Oakland, CA 94605-2455
Grant Number
H80CS00047
Participating Start Date
10/1/2003
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 702, LLC
Pharmacy Address
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
10/17/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Damon Francis, Interim Primary Care Lead
(510) 437-8418
Contract Pharmacy Representative
Optum
nancy mccutcheon, VP of Strategic Sales
(651) 983-0677
Signed By Date
10/17/2022
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