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OPTUM PHARMACY 701, LLC
STD33301 AIDS HEALTHCARE FOUNDATION
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Covered Entity Details
Entity Name
AIDS HEALTHCARE FOUNDATION
Subdivision Name
Broward Wellness Center
Type
Sexually Transmitted Diseases
340B ID
STD33301
Entity Address
750 SE 3rd Ave.
1st Floor
FORT LAUDERDALE, FL 33316
Grant Number
NH25PS005131
Participating Start Date
7/1/2013
Last Recertification Date
5/30/2024
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 701, LLC
Pharmacy Address
1830 S HORNE
MESA, AZ 85204
Pharmacy Comments
Contract Details
Approval Date
7/5/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
7/5/2024
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