Organization
OPTIHEALTH LLC
Active
Other names
ACCORD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF NEWMAN (MANAGING OFFICER)
(801) 358-3298
Entity
Organization
Contact information
Practice address
3230 I-30, STE 120A, MESQUITE, TX 75150-2664
(972) 686-6300
(888) 327-4157
Mailing address
PO BOX 1017, AMERICAN FORK, UT 84003-1017
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25891
TX
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2101140
PK
—
Enumeration date
02/04/2008
Last updated
08/28/2014
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