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OPTUM PHARMACY 702, LLC
CH071247C Salina Health Education Foundation
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Covered Entity Details
Entity Name
Salina Health Education Foundation
Subdivision Name
Salina Family Eye Care Center
Type
HRSA-Funded Health Center
340B ID
CH071247C
Entity Address
2676 Planet Ave
Salina, KS 67401
Grant Number
H80CS04216
Participating Start Date
7/1/2022
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 702, LLC
Pharmacy Address
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
4/4/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Deborah K. Demel, CFO
(785) 825-7251 Ext: 319
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
4/4/2025
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