OPTUM INFUSION SERVICES 203, INC.
9984 Premier Pkwy
Miramar, FL 33025
800-670-6922
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
N | 3336C0004X | Suppliers - Pharmacy | ||
N | 3336M0003X | Suppliers - Pharmacy | ||
N | 3336S0011X | Suppliers - Pharmacy | ||
Y | 3336H0001X | Suppliers - Pharmacy | FL | PH18740 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
016022400 | FL | MEDICAID | |
016022401 | FL | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 1096723 | OTHER |