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CANYON MEDICAL PHARMACY, 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
CANYON MEDICAL PHARMACY, INC.
Pharmacy Address
7265 S REVERE PARKWAY, SUITE 902
CENTENNIAL, CO 80112
Pharmacy Comments
Contract Details
Approval Date
7/13/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LUDWIG M. SPINELLI, CEO
(203) 696-3260 Ext: 3349
Contract Pharmacy Representative
CarepathRx Health System Solution
Ryan Rushing, Vice President, 340B Solutions
(512) 541-0665
Signed By Date
7/13/2017
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