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OPTUM PHARMACY 702, LLC
STD01062 Transhealth, Inc.
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Covered Entity Details
Entity Name
Transhealth, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD01062
Entity Address
10 Main Street
3rd Floor
Florence, MA 01062
Grant Number
NH25PS005167-04-02
Participating Start Date
11/7/2022
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 702, LLC
Pharmacy Address
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
11/22/2022
Contract Begin Date
11/22/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dallas Michelle Ducar, CEO and President
(413) 341-9400
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
11/22/2022
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