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OPTUM PHARMACY 702, LLC
CH042780 CAROLINA HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
CAROLINA HEALTH CENTERS, INC.
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH042780
Entity Address
313 MAIN STREET
SUITE B
GREENWOOD, SC 29646
Grant Number
H80CS00785
Participating Start Date
1/1/2004
Last Recertification Date
2/26/2025
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
SUE VEER, CEO
(864) 388-0301 Ext: 68207
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
4/14/2025
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