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CAREMARK ILLINOIS SPECIALTY PHARMACY, LL
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
CAREMARK ILLINOIS SPECIALTY PHARMACY, LL
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
800 BIERMANN CT STE B
MOUNT PROSPECT, IL 60056
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LUDWIG M. SPINELLI, CEO
(203) 696-3260 Ext: 3349
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/15/2019
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