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Organization

OPTIME CARE INC

Active
Other names
Optime Care Inc
Organization subpart
No

Provider details

NPI number
Authorized official
DONOVAN QUILL (PRESIDENT CEO)
(314) 731-6900
Entity
Organization

Contact information

Practice address
4060 WEDGEWAY CT, EARTH CITY, MO 63045-1213
(314) 731-6900
(314) 731-6901
Mailing address
4060 WEDGEWAY CT, EARTH CITY, MO 63045-1213
(314) 731-6900
(314) 731-6901

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336M0002X
Mail Order Pharmacy
Primary
2016011308
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2168880
PK
Enumeration date
04/27/2017
Last updated
04/27/2017
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