Organization
OPTIME CARE INC
Active
Other names
Optime Care, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DONOVAN QUILL (PRESIDENT)
(610) 597-4221
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
—
—
3336S0011X
Specialty Pharmacy
Primary
2016011308
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609229921
—
MO
01
—
2163714
PK
—
Enumeration date
07/21/2016
Last updated
04/19/2017
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