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OPTUM INFUSION SERVICES 101, INC.
HM06030 University of Connecticut Hemophilia Treatment Center
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Covered Entity Details
Entity Name
University of Connecticut Hemophilia Treatment Center
Subdivision Name
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM06030
Entity Address
263 Farmington Ave
Neag Cancer Center
Farmington, CT 06030-1834
Grant Number
H30MC24048
Participating Start Date
4/1/2012
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
OPTUM INFUSION SERVICES 101, INC.
Pharmacy Address
931 CONKLIN ST STE D
FARMINGDALE, NY 11735-2429
Pharmacy Comments
Contract Details
Approval Date
1/9/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeffrey P. Geoghegan, CFO
(860) 679-3162
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
1/9/2023
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