Contract Pharmacy Details

MAXI DRUG, 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

MAXI DRUG, INC.

Pharmacy Address

RITE AID #10390
82 HOYT STREET
STAMFORD, CT 06905

Pharmacy Comments

Contract Details

Approval Date

10/2/2014

Contract Begin Date

1/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/30/2024
Pharmacy closed

Contacts

Covered Entity Signing Official

LUDWIG M. SPINELLI, CEO
(203) 696-3260 Ext: 3349

Contract Pharmacy Representative

Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217

Signed By Date

10/2/2014

340B Drug Pricing Program Database