Optum Pharmacy 702, LLC
NPI #1083045140 in Jeffersonville, Indiana
Provider Information
- NPI Number
- 1083045140
- Entity Type
- Organization
- Organization Name
- Optum Pharmacy 702, LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 27, 2013
- Last Updated
- Feb 4, 2025
Practice Location
- Address
- 1050 PATROL RD
- City
- Jeffersonville
- State
- Indiana
- ZIP Code
- 47130-7750
- Phone
- (855) 427-4682
Authorized Official
- Name
- KEVIN EUGENE BURR
- Title
- SECRETARY
- Phone
- (712) 310-4701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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