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WALGREEN EASTERN CO., INC.
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
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 09521
1000 PARK AVENUE
BRIDGEPORT, CT 06604-3406
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
8/9/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LUDWIG M. SPINELLI, CEO
(203) 696-3260 Ext: 3349
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
8/2/2011
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