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OPTUM PHARMACY 701, LLC
RRC230030-00 MYMICHIGAN MEDICAL CENTER ALMA
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Covered Entity Details
Entity Name
MYMICHIGAN MEDICAL CENTER ALMA
Subdivision Name
Type
Rural Referral Center
340B ID
RRC230030-00
Entity Address
300 E. WARWICK DRIVE
ALMA, MI 48801
Medicare Provider Number
230030
Participating Start Date
10/1/2023
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 701, LLC
Pharmacy Address
1830 S HORNE
MESA, AZ 85204
Pharmacy Comments
Contract Details
Approval Date
10/10/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Heather R Wager, Director of Finance
(989) 466-3281
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
10/10/2024
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