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OPTUM PHARMACY 700, LLC
CH056440 OHIO NORTH EAST HEALTH SYSTEMS INC
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Covered Entity Details
Entity Name
OHIO NORTH EAST HEALTH SYSTEMS INC
Subdivision Name
Youngstown Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH056440
Entity Address
726 Wick Ave
Youngstown, OH 44505-2827
Grant Number
H80CS00196
Participating Start Date
4/1/1999
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 700, LLC
Pharmacy Address
5700 DOT COM CT, STE 1000
OVIEDO, FL 32765
Pharmacy Comments
Contract Details
Approval Date
4/2/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ronald Dwinnells, CEO
(330) 747-2330
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
4/2/2024
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