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OPTUM INFUSION SERVICES 202, INC.

Medical Equipment Supplier Yellow Pages

Jacksonville, Florida

Provider NPI: 1700975802

Organization Information:
Organization Name:  OPTUM INFUSION SERVICES 202, INC.


Practice Location:
9655 FLORIDA MINING BOULEVARD W. #411  JACKSONVILLE, FL 32257 US
Tel: 866-680-5744  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
N3336M0003XSuppliers
Pharmacy
N3336S0011XSuppliers
Pharmacy
Y3336H0001XSuppliers
Pharmacy
FLPH22242

Other Provider Identifiers:

IssuerNumberStateType
NCPDP PROVIDER IDENTIFICATION NUMBER102344101
016047800FL05
016047801FL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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