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OPTUM PHARMACY 701, LLC
CH06374N NORTH CENTRAL TEXAS COMMUNITY HEALTH CAR
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Covered Entity Details
Entity Name
NORTH CENTRAL TEXAS COMMUNITY HEALTH CAR
Subdivision Name
Pediatric Associates 10th Street
Type
HRSA-Funded Health Center
340B ID
CH06374N
Entity Address
1718 10th St
Wichita Falls, TX 76301-5053
Grant Number
H80CS00553
Participating Start Date
1/1/2024
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 701, LLC
Pharmacy Address
1830 S HORNE
MESA, AZ 85204
Pharmacy Comments
Contract Details
Approval Date
7/18/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Allen Patterson, CEO
(940) 397-2602
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
7/18/2024
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