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OPTUM PHARMACY 702, LLC
CH09321S Camarena Health
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Covered Entity Details
Entity Name
Camarena Health
Subdivision Name
Camarena Health – Millbrook Health Center
Type
HRSA-Funded Health Center
340B ID
CH09321S
Entity Address
7202 N Millbrook Ave Ste 202
Fresno, CA 93720-3341
Grant Number
H80CS00143
Participating Start Date
10/1/2020
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 702, LLC
Pharmacy Address
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paulo A. Soares, CEO
(559) 664-4089
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
10/16/2023
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