Organization
OPTUM INFUSION SERVICES 500, INC.
Active
Parent organization
AXELACARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AXELACARE LLC
Authorized official
KEVIN EUGENE BURR (SECRETARY)
(712) 310-4701
Entity
Organization
Contact information
Practice address
2182 DIVIDEND DRIVE, COLUMBUS, OH 43228
(844) 386-2472
(888) 776-5018
Mailing address
1 OPTUM CIR STE 100, EDEN PRAIRIE, MN 55344-2503
(800) 328-5979
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
05/16/2017
Last updated
12/04/2024
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