Optum - Marysville Pharmacy
LBN: Optum Care Washington Pllc
Optum - Marysville Pharmacy is an health care organization with primary practice located at 4420 76Th St Ne , Marysville WA 98270-3726. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Optum Care Washington Pllc can be contacted via phone (360) 651-7410, or through Stanislaw, Kari via phone (425) 259-0966.
Contact Information
Primary practice address
4420 76Th St Ne
Marysville WA 98270-3726
Phone: (360) 651-7410
Fax: (360) 651-7415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | CF00056585 | Washington |
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1023188109 |
|---|---|
| LBN Legal business name | Optum Care Washington Pllc |
| DBA Doing business as | Optum - Marysville Pharmacy |
| Authorized official | Stanislaw, Kari |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Apr 8th, 2024 - about 5 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023188109 | NPPES |
| Washington | MEDICAID | 6023147 | |
| Washington | Other | 4927969 |
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