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HANCOCK PHARMACY 2
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
HANCOCK PHARMACY 2
Pharmacy Address
HANCOCK PHARMACY II, LLC
1020 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Pharmacy Comments
Contract Details
Approval Date
7/6/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Karen A Daley, Chief Executive Officer
(203) 608-3387
Contract Pharmacy Representative
Hancock Pharmacy 2
Rama Devadi, Manager
(203) 576-9000
Signed By Date
7/6/2023
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