340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo

OPTUM PHARMACY 702, LLC
CH048980 LEWIS COUNTY PRIMARY CARE CENTER, INC.

Covered Entity Details

Lewis County Primary Care Center, Inc.
HRSA-Funded Health Center
CH048980
211 KY 59
Building A
VANCEBURG, KY 41179
H80CS00106
1/1/1999
2/26/2025


Pharmacy Details

1050 PATROL RD
JEFFERSONVILLE, IN 47130

Contract Details

7/15/2024
10/1/2024


Contacts


JERRY UGRIN, CEO
(606) 796-3029



Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
7/15/2024