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Organization

OPTUM INFUSION SERVICES 402, LLC

Active
Parent organization
SCP SPECIALTY INFUSION, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SCP SPECIALTY INFUSION, LLC
Authorized official
KEVIN EUGENE BURR (SECRETARY)
(712) 310-4701
Entity
Organization

Contact information

Practice address
2300 MAIN ST STE 150, IRVINE, CA 92614-6223
(562) 263-5600
(866) 476-2489
Mailing address
1 OPTUM CIR STE 100, EDEN PRAIRIE, MN 55344-2503
(800) 328-5979

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336H0001X
Home Infusion Therapy Pharmacy
Primary

Other

Enumeration date
07/17/2009
Last updated
12/04/2024
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