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OPTUM PHARMACY 702, LLC
CH092887E CHINATOWN SERVICE CENTER
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Covered Entity Details
Entity Name
CHINATOWN SERVICE CENTER
Subdivision Name
CSC - Community Health Center Alhambra
Type
HRSA-Funded Health Center
340B ID
CH092887E
Entity Address
726 E. Main Street STE B
Alhambra, CA 91801-4082
Grant Number
H80CS08735
Participating Start Date
4/1/2025
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
Peter Ng, CEO
(213) 808-1701
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
4/15/2025
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