Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
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

WALGREEN EASTERN CO., INC.

Pharmacy Address

DBA: WALGREENS #15358
2200 ATLANTIC ST STE 200
STAMFORD, CT 06902-6834

Pharmacy Comments

Contract Details

Approval Date

9/19/2012

Contract Begin Date

9/19/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

9/15/2017
Pharmacy closed

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

9/12/2012

340B Drug Pricing Program Database