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OPTUM PHARMACY 701, LLC
CHC00458-00 SACOPEE VALLEY HEALTH CENTER
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Covered Entity Details
Entity Name
SACOPEE VALLEY HEALTH CENTER
Subdivision Name
SACOPEE VALLEY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CHC00458-00
Entity Address
70 Main St
Porter, ME 04068
Grant Number
H80CS00458
Participating Start Date
7/1/2009
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 701, LLC
Pharmacy Address
1830 S HORNE
MESA, AZ 85204
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Michelle Eastman, Chief Financial Officer
(207) 625-2235
Contract Pharmacy Representative
OptumRx
Diana H, 340B Associate Contract Administrator
(855) 427-4682
Signed By Date
1/16/2024
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