340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM PHARMACY 701, LLC
CHC00331-00 BLAND COUNTY MEDICAL CLINIC
Print
Covered Entity Details
Entity Name
BLAND COUNTY MEDICAL CLINIC
Subdivision Name
BLAND COUNTY MEDICAL CLINIC, INC.
Type
HRSA-Funded Health Center
340B ID
CHC00331-00
Entity Address
12301 Grapefield Rd
Bastian, VA 24314-4547
Grant Number
H80CS00331
Participating Start Date
1/1/2023
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 701, LLC
Pharmacy Address
1830 S HORNE
MESA, AZ 85204
Pharmacy Comments
Contract Details
Approval Date
1/14/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
SUSAN GREEVER, EXECUTIVE DIRECTOR
(276) 688-4331
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
1/14/2025
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