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OPTUM INFUSION SERVICES 553, LLC

Medical Equipment Supplier Yellow Pages

Raleigh, North Carolina

Provider NPI: 1982602991

Organization Information:
Organization Name:  OPTUM INFUSION SERVICES 553, LLC


Practice Location:
140 NORTHWAY CT  RALEIGH, NC 27615 US
Tel: 888-571-3100  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336H0001XSuppliers
Pharmacy
Home Infusion Therapy Pharmacy
Y3336C0003XSuppliers
Pharmacy
NC12034

Other Provider Identifiers:

IssuerNumberStateType
001119300MD05
0920619NC05
PK207238701
0014354NJ05
008519781VA05
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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