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

WALGREENS #16549
ONE HOSPITAL PLAZA SUITE G 122
STAMFORD, CT 06902

Pharmacy Comments

Contract Details

Approval Date

4/17/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2022
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

4/17/2017

340B Drug Pricing Program Database