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OPTUM PHARMACY 702, LLC
STD94114 San Francisco AIDS Foundation
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Covered Entity Details
Entity Name
San Francisco AIDS Foundation
Subdivision Name
Strut - Sexual Health Services
Type
Sexually Transmitted Diseases
340B ID
STD94114
Entity Address
470 Castro Street
San Francisco, CA 94114
Grant Number
NH25PS005141-05-08
Participating Start Date
10/1/2011
Last Recertification Date
5/22/2024
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 702, LLC
Pharmacy Address
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
5/12/2023
Contract Begin Date
5/16/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Chris Damon, Controller
(415) 487-3043
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
5/12/2023
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