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OPTUM PHARMACY 700, LLC
STD327635 Central Florida Health Care Services Corp
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Covered Entity Details
Entity Name
Central Florida Health Care Services Corp
Subdivision Name
CFHCS-OC
Type
Sexually Transmitted Diseases
340B ID
STD327635
Entity Address
915 Harley Strickland Blvd.
Orange City, FL 32763
Grant Number
H25PS005131
Participating Start Date
9/16/2024
Last Recertification Date
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
9/16/2024
Contract Begin Date
9/16/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joseph Misleh, Director
(513) 702-7215
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
9/5/2024
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