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Contact Information

OPTUM PHARMACY 701, LLC
1830 S HORNE
MESA, AZ85204-5771
 Phone: 800-562-6223
 Fax: 800-491-7997
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for OPTUM PHARMACY 701, LLC

NPI # 1487227807
LBN Legal business name OPTUM PHARMACY 701, LLC
Authorized official KEVIN BURR - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2021
Last updated 12/04/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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