Organization
OPTUM PHARMACY 705, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN EUGENE BURR (SECRETARY)
(712) 310-4701
Entity
Organization
Contact information
Practice address
1893 GENERAL GEORGE PATTON DR STE 106, FRANKLIN, TN 37067-2655
(615) 791-8679
(615) 791-7666
Mailing address
1 OPTUM CIR STE 100, EDEN PRAIRIE, MN 55344-2503
(800) 328-5979
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/09/2006
Last updated
12/04/2024
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