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OPTUM INFUSION SERVICES 550, LLC

Specialty Pharmacy >> Pharmacy >> Suppliers

Registrant NPI Number: 1578866752

Organizational Registrant:
Organization Name:  OPTUM INFUSION SERVICES 550, LLC
Organization is not Subpart
Authorized Official:  DAVID JOHN OBERG  ASSISTANT SECRETARY  949--98-85893

Location and contact information for practice:
20 COMMERCE WAY STE 2  WOBURN, MA 01801-1057 US
Tel: 781-287-1500  Fax: 781-287-1502

Contact information for business:
266 W CUMMINGS PARK  WOBURN, MA 01801-6346 US
Tel: 781-287-1500  Fax: 781-287-1502

Registration Information:
NPI: 1578866752
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336S0011XSuppliers
Pharmacy
Specialty Pharmacy
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
N332BP3500XSuppliers
Durable Medical Equipment & Medical Supplies
N333600000XSuppliers
Pharmacy
N3336H0001XSuppliers
Pharmacy
MADS89763
Y3336C0004XSuppliers
Pharmacy

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
442196500MD05
0297739NJ05
0297097NJ05
3088738NH05
441160900MD05
10090166AMA05
102080003002PA05
PK212797001
1020535VT05




HEALTH CARE JOBS MA - Page 1



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