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Organization

OPTIVRX, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRACEY LEANN HILL CPHT. (OWNER)
(865) 206-1550
Entity
Organization

Contact information

Practice address
1600 BREDA DR FL B, KNOXVILLE, TN 37918-1405
(865) 500-4987
(865) 500-3968
Mailing address
1002 CEDAR SPRINGS RD, ATHENS, TN 37303-4530
(865) 206-1550
(865) 500-3968

Taxonomy

Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
261QI0500X
Infusion Therapy Clinic/Center
3336H0001X
Home Infusion Therapy Pharmacy
3336S0011X
Specialty Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000007565
BOARD OF PHARMACY LICENSE
TN
05
Q082117
TN
Enumeration date
03/02/2023
Last updated
03/21/2025
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