Optum Infusion Services 202, Inc. in Jacksonville - Home Infusion Therapy Pharmacy
Optum Infusion Services 202, Inc. - NPI 1700975802
Optum Infusion Services 202, Inc. is a Home Infusion Therapy Pharmacy in Jacksonville, Florida. Optum Infusion Services 202, Inc. practices all healthcare services and medical treatments related to Home Infusion Therapy Pharmacy. The NPI Number for Optum Infusion Services 202, Inc. is 1700975802. The last update date is 2023-06-13.
Optum Infusion Services 202, Inc.'s current location address is 9655 Florida Mining Boulevard W. #411, Jacksonville, Florida. You can contact this provider via phone number 8666805744 and fax number 8442501991. The mailing address for Optum Infusion Services 202, Inc. is 9655 Florida Mining Boulevard W. #411, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Optum Infusion Services 202, Inc. |
|---|---|
| Address | 9655 Florida Mining Boulevard W. #411, Jacksonville, Florida |
| Phone Number | 8666805744 |
| Fax Number | 8442501991 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY |
|---|---|
| Authorized Official Name | Burr Eugene Kevin |
| Telephone Number | 7123104701 |
NPI Number Detail
| NPI Number | 1700975802 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2023-06-13 |
Provider Mailing Address Detail
| Address | 9655 Florida Mining Boulevard W. #411 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 32257 |
| Phone Number | 8666805744 |
| Fax Number | 8442501991 |
Provider's Primary Taxonomy Detail
| Speciality | Home Infusion Therapy Pharmacy |
|---|---|
| Taxonomy | 3336H0001X |
| Licence No | PH22242 |
|
Definition: Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16047800 | FL | -- | |
| 1023441 | NCPDP PROVIDER IDENTIFICATION | ||
| 16047801 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Optum Infusion Services 202, Inc. by the Centers for Medicare & Medicaid Services?
The Optum Infusion Services 202, Inc. has been issued the NPI (National Provider Identifier) 1700975802 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Optum Infusion Services 202, Inc. is located?
The Optum Infusion Services 202, Inc. is situated at the following address: 9655 Florida Mining Boulevard W. #411, Jacksonville, FL, 32257.
What is Optum Infusion Services 202, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Optum Infusion Services 202, Inc. is Home Infusion Therapy Pharmacy, and the taxonomy code that classifies this field of practice is 3336H0001X.
When was the Optum Infusion Services 202, Inc.'s 1700975802 issued?
The Optum Infusion Services 202, Inc.'s 1700975802 was issued on 2006-10-12.
When was the information pertaining to Optum Infusion Services 202, Inc. most recently updated or revised?
The details related to Optum Infusion Services 202, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2023-06-13.
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