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OPTUM INFUSION SERVICES 550, LLC

Community/Retail Pharmacy >> Pharmacy >> Suppliers

Registrant NPI Number: 1851337778

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:
7167 E KEMPER RD  CINCINNATI, OH 45249-1028 US
Tel: 513-792-7080  Fax: 513-792-3838

Contact information for business:
4100 S SAGNIAW ST  FLINT, MI 48507 US
Tel: 810-768-9000  Fax: 855-603-5113

Registration Information:
NPI: 1851337778
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0003XSuppliers
Pharmacy
Community/Retail Pharmacy
N251F00000XAgencies
Home Infusion
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
N332BP3500XSuppliers
Durable Medical Equipment & Medical Supplies
N333600000XSuppliers
Pharmacy
N3336C0004XSuppliers
Pharmacy
N3336S0011XSuppliers
Pharmacy
Y3336H0001XSuppliers
Pharmacy
OH022104800

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1851337778VA05
1851337778MN05
309255AZ05
510469600MD05
7100162850KY05
7100150340KY05
93773765CO05
1002156200NE05
510468800MD05
PH002OHAK05
PK207974401
4582576TN05
7H5300SC05
1851337778ID05
6028575WA05
102080003003PA05
1851337778ME05
1851337778IA05
200051160AOK05
200497810AIN05




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