Organization
OPTUM INFUSION SERVICES 209, INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE MCCABE (SECRETARY)
(952) 935-1191
Entity
Organization
Contact information
Practice address
425 FRANKLIN GATEWAY, SUITE 535, MARIETTA, GA 30067
(800) 925-9749
(844) 243-3370
Mailing address
1 OPTUM CIR STE 100, EDEN PRAIRIE, MN 55344-2956
(800) 328-5979
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
10/12/2006
Last updated
05/07/2026
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