Organization
OPTUM INFUSION SERVICES 103, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE MCCABE (SECRETARY)
(952) 935-1191
Entity
Organization
Contact information
Practice address
9204 BERGER RD, STE. A, COLUMBIA, MD 21046
(800) 715-6650
(866) 715-6651
Mailing address
1 OPTUM CIR STE 100, EDEN PRAIRIE, MN 55344-2956
(800) 328-5979
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
05/07/2026
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