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OPTUM INFUSION SERVICES 200, INC.

Medical Equipment Supplier Yellow Pages

North Charleston, South Carolina

Provider NPI: 1396701447

Organization Information:
Organization Name:  OPTUM INFUSION SERVICES 200, INC.


Practice Location:
5895 CORE RD STE 417  NORTH CHARLESTON, SC 29406 US
Tel: 800-334-3464  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336H0001XSuppliers
Pharmacy
Home Infusion Therapy Pharmacy
SC50006393

Other Provider Identifiers:

IssuerNumberStateType
730694SC05
DME091SC05
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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