340B Drug Pricing Program Database

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OPTUM PHARMACY 701, LLC
CHC26511-01 UPPER GREAT LAKES FAMILY HEALTH CENTER

Covered Entity Details

Hancock Family Health Center
HRSA-Funded Health Center
CHC26511-01
500 Campus Dr.
STE 2-3-5
HANCOCK, MI 49930
H80CS26511
4/1/2014
2/12/2025


Pharmacy Details

1830 S HORNE
MESA, AZ 85204

Contract Details

10/7/2024
1/1/2025


Contacts


Donald A. Simila, CEO
(906) 481-8571



Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
10/7/2024