Contract Pharmacy Details

OPTUM PHARMACY 705, LLC
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

OPTUM PHARMACY 705, LLC

Pharmacy Address

1100 LEE BRANCH LN
BIRMINGHAM, AL 35242-7298

Pharmacy Comments

Contract Details

Approval Date

7/17/2023

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

Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677

Signed By Date

7/17/2023

340B Drug Pricing Program Database