340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM PHARMACY 702, LLC
CH066580 Centro San Vicente
Print
Covered Entity Details
Entity Name
Centro San Vicente
Subdivision Name
None
Type
HRSA-Funded Health Center
340B ID
CH066580
Entity Address
8061 Alameda Ave
El Paso, TX 79915-4705
Grant Number
H80CS00637
Participating Start Date
10/1/1995
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 702, LLC
Pharmacy Address
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
1/10/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christina Ilene Paz, CEO
(915) 859-7545 Ext: 1232
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
1/10/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session