Optum Pharmacy 705, LLC
NPI #1700814449 in Columbus, Mississippi
Provider Information
- NPI Number
- 1700814449
- Entity Type
- Organization
- Organization Name
- Optum Pharmacy 705, LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 29, 2006
- Last Updated
- Dec 4, 2024
Practice Location
- Address
- 3539 BLUECUTT RD
- City
- Columbus
- State
- Mississippi
- ZIP Code
- 39705-1324
- Phone
- (662) 240-8900
Authorized Official
- Name
- KEVIN EUGENE BURR
- Title
- SECRETARY
- Phone
- (712) 310-4701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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