Optum Pharmacy 704, Inc.
NPI #1154893600 in San Antonio, Texas
Provider Information
- NPI Number
- 1154893600
- Entity Type
- Organization
- Organization Name
- Optum Pharmacy 704, Inc.
- Primary Specialty
- Pharmacy - Mail Order Pharmacy
- Enumeration Date
- Dec 21, 2018
- Last Updated
- Dec 4, 2024
Practice Location
- Address
- 5627 UNIVERSITY HTS STE 108
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78249-3583
- Phone
- (800) 562-6223
Authorized Official
- Name
- KEVIN EUGENE BURR
- Title
- SECRETARY
- Phone
- (712) 310-4701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Mail Order Pharmacy — Mail Order Pharmacy |
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