Organization
OPTUM INFUSION SERVICES 101, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE MCCABE (SECRETARY)
(952) 935-1191
Entity
Organization
Contact information
Practice address
931 CONKLIN ST STE D, FARMINGDALE, NY 11735-2429
(800) 346-6348
(866) 689-3569
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)
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
09/27/2007
Last updated
05/01/2026
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