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CH01127AD OPTIMUS HEALTH CARE, INC. (Terminated)
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Main Details
Name
OPTIMUS HEALTH CARE, INC.
Subdivision Name
Platt Technical High School - SBHC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014377
340B ID
CH01127AD
Grant Number
H80CS00377
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/8/2016
Last Recertification Date
1/29/2024
Termination Date
Termination Reason
4/1/2025
Business decision by the Covered Entity
Contacts
Authorizing Official
Optimus Health Care, Inc.
Karen A Daley, Chief Executive Officer
(203) 608-3387
Primary Contact
Optimus Health Care
Tizita Fekredengel, Clinical Pharmacist
(203) 616-2235
Addresses
Street Address
600 Orange Ave.
Milford, CT 06461
Billing Address
Optimus Health Care
982 East Main Street
Bridgeport, CT 06608
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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