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WAL-MART CENTRAL FILL 10-2670
CH011270 OPTIMUS HEALTH CARE, INC.
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Covered Entity Details
Entity Name
OPTIMUS HEALTH CARE, INC.
Subdivision Name
OPTIMUS ON BARNUM AVENUE
Type
HRSA-Funded Health Center
340B ID
CH011270
Entity Address
471 BARNUM AVE.
Bridgeport, CT 06608
Grant Number
H80CS00377
Participating Start Date
10/1/1998
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART CENTRAL FILL 10-2670
Pharmacy Address
608 SPRING HILL DR # 3 SUITE 300
SPRING, TX 77386
Pharmacy Comments
Contract Details
Approval Date
4/16/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LUDWIG M. SPINELLI, CEO
(203) 696-3260 Ext: 3349
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/16/2019
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