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
Update your record
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