340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM PHARMACY 702, LLC
STD337104 A Healthy Dose Foundation, Inc.
Print
Covered Entity Details
Entity Name
A Healthy Dose Foundation, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD337104
Entity Address
6812 22nd Avenue North
St. Petersburg, FL 33710
Grant Number
NH25PS005131
Participating Start Date
7/1/2024
Last Recertification Date
5/9/2025
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 702, LLC
Pharmacy Address
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
1/8/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brittney Roy, President
(727) 463-2477
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
1/8/2025
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session