Organization
OPTUM CARE WASHINGTON PLLC
Active
Organization
OPTUM CARE WASHINGTON PLLC
Active
Parent organization
EVERETT PHYSICIANS, INC. P.S.
Other names
Optum - Mill Creek Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERETT PHYSICIANS, INC. P.S.
Authorized official
DR. GEORGE GO MD (BOARD PRESIDENT)
(425) 259-0966
Entity
Organization
Contact information
Practice address
15418 MAIN ST, SUITE 106, MILL CREEK, WA 98012
(425) 225-8010
(425) 225-8009
Mailing address
PO BOX 2747, EVERETT, WA 98213-0747
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF58850
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4932136
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/08/2006
Last updated
04/11/2024
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