Contract Pharmacy Details

CONNECTICUT CVS PHARMACY, L.L.C.
CH011270 OPTIMUS HEALTH CARE, INC.

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

CONNECTICUT CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 00775
2045 DIXWELL AVE.
HAMDEN, CT 06514

Pharmacy Comments

Contract Details

Approval Date

10/12/2021

Contract Begin Date

1/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Karen A Daley, Chief Executive Officer
(203) 608-3387

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

10/12/2021

340B Drug Pricing Program Database