Organization
OPTUM CARE WASHINGTON PLLC
Active
Parent organization
OPTUM CARE WASHINGTON PLLC
Other names
Optum - Marysville Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPTUM CARE WASHINGTON PLLC
Authorized official
KARI STANISLAW (SENIOR DIRECTOR, PHARMACY)
(425) 259-0966
Entity
Organization
Contact information
Practice address
4420 76TH ST NE, MARYSVILLE, WA 98270-3726
(360) 651-7410
(360) 651-7415
Mailing address
PO BOX 2747, EVERETT, WA 98213-0747
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
CF00056585
WA
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4927969
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6023147
—
WA
Enumeration date
11/08/2006
Last updated
04/08/2024
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