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OPTUM PHARMACY 701, LLC
CH031250 BLUESTONE HEALTH ASSOCIATION, INC.
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Covered Entity Details
Entity Name
BLUESTONE HEALTH ASSOCIATION, INC.
Subdivision Name
BLUESTONE HEALTH ASSOCIATION, INC.
Type
HRSA-Funded Health Center
340B ID
CH031250
Entity Address
3997 Beckley Rd
Princeton, WV 24740-7660
Grant Number
H80CS00450
Participating Start Date
7/1/1998
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 701, LLC
Pharmacy Address
1830 S HORNE
MESA, AZ 85204
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
Brittani Nicole Hutchens, CEO
(304) 320-2835
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
4/14/2025
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