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OPTUM INFUSION SERVICES 550, LLC
CH09321A Camarena Health
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Covered Entity Details
Entity Name
Camarena Health
Subdivision Name
DMC Family Care Health Center
Type
HRSA-Funded Health Center
340B ID
CH09321A
Entity Address
344 E 6th St
Madera, CA 93638-3631
Grant Number
H80CS00143
Participating Start Date
1/1/2003
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
OPTUM INFUSION SERVICES 550, LLC
Pharmacy Address
20 COMMERCE WAY
SUITE 2
WOBURN, MA 01801
Pharmacy Comments
Contract Details
Approval Date
4/13/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paulo A. Soares, CEO
(559) 664-4089
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
4/13/2025
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