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OPTUM PHARMACY 702, LLC
CHC28445-00 COMMUNITY HEALTH INITIATIVES INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH INITIATIVES INC.
Subdivision Name
CHI Health Center
Type
HRSA-Funded Health Center
340B ID
CHC28445-00
Entity Address
1419 Mermaid Ave.
Brooklyn, NY 11224-2770
Grant Number
H80CS28445
Participating Start Date
10/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 702, LLC
Pharmacy Address
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
4/14/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Alex Movshovich, Executive Director
(718) 210-3110 Ext: 813
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
4/14/2025
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