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OPTUM INFUSION SERVICES 203 INC
HM4799 HEMOPHILIA OF GEORGIA, INC.
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Covered Entity Details
Entity Name
HEMOPHILIA OF GEORGIA, INC.
Subdivision Name
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM4799
Entity Address
8607 Roberts Drive
Suite 150
Sandy Springs, GA 30350
Grant Number
H30MC24046
Participating Start Date
12/1/1992
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
OPTUM INFUSION SERVICES 203 INC
Pharmacy Address
9984 PREMIER PKWY
MIRAMAR, FL 33025-3209
Pharmacy Comments
Contract Details
Approval Date
4/30/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Edith A Rosato, CEO
(770) 518-8272
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
4/30/2023
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