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Nursing Facility Supplies, Customized Equipment

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OPTUM INFUSION SERVICES 103, LLC

Medical Equipment Supplier Yellow Pages

Columbia, Maryland

Provider NPI: 1487609269

Organization Information:
Organization Name:  OPTUM INFUSION SERVICES 103, LLC


Practice Location:
9204 BERGER RD STE. A COLUMBIA, MD 21046 US
Tel: 800-715-6650  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
MDPW0332
Y3336H0001XSuppliers
Pharmacy
MDPW0332

Other Provider Identifiers:

IssuerNumberStateType
PHARMACY LICENSEPW0332MD01
DEAFS180820501
6521126.00MD05
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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