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OPTUM FRONTIER THERAPIES, LLC
HM12010 University Medical Services Association, Inc.
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Covered Entity Details
Entity Name
University Medical Services Association, Inc.
Subdivision Name
USF Comprehensive Hemophilia Treatment Center
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM12010
Entity Address
12901 Bruce B. Downs Blvd, MDC 19
TAMPA, FL 33612
Grant Number
H30MC24046
Participating Start Date
1/1/2000
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
OPTUM FRONTIER THERAPIES, LLC
Pharmacy Address
325 W ATHERTON RD
SUITE 1
FLINT, MI 48507-2601
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
Renee Marie Dubault, Chief Executive Officer
(813) 974-0329
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
4/14/2025
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