Organization
OPTUM INFUSION SERVICES 404, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE MCCABE (SECRETARY)
(952) 935-1191
Entity
Organization
Contact information
Practice address
2065 NE WILLIAMSON CT STE B, BEND, OR 97701-3867
(877) 212-3516
(877) 212-5611
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
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
01/31/2007
Last updated
05/07/2026
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