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BRIDGEPORT PHARMACY
CH01127C OPTIMUS HEALTH CARE, INC.
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Covered Entity Details
Entity Name
OPTIMUS HEALTH CARE, INC.
Subdivision Name
OPTIMUS on East Main
Type
HRSA-Funded Health Center
340B ID
CH01127C
Entity Address
982-988 EAST MAIN STREET
BRIDGEPORT, CT 06608
Grant Number
H80CS00377
Participating Start Date
1/1/2004
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
BRIDGEPORT PHARMACY
Pharmacy Address
978 E MAIN ST
BRIDGEPORT, CT 06608-1913
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
3/10/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/20/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
LUDWIG M. SPINELLI, CEO
(203) 696-3260 Ext: 3349
Contract Pharmacy Representative
Bridgeport Pharmacy
Lakshmana M Pudipeddi, Pharmacy Manager
(203) 367-9000
Signed By Date
2/5/2010
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