340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM PHARMACY 702, LLC
FQHCLA484 UPTOWN COMMUNITY HEALTH CENTER INC
Print
Covered Entity Details
Entity Name
UPTOWN COMMUNITY HEALTH CENTER INC
Subdivision Name
Uptown Community Health Center, Inc. Administration
Type
Health Center Program Look-Alike
340B ID
FQHCLA484
Entity Address
1960 N Ogden St, Ste 300
Denver, CO 80218-3674
Grant Number
LALCS54746
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 702, LLC
Pharmacy Address
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cherise Callighan, CEO
(303) 318-2505
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
4/15/2025
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session