Optum - Mill Creek Pharmacy

LBN: Optum Care Washington Pllc
Optum - Mill Creek Pharmacy is an health care organization with primary practice located at 15418 Main St Suite 106, Mill Creek WA 98012. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Optum Care Washington Pllc can be contacted via phone (425) 225-8010, or through Go, George via phone (425) 259-0966.

Contact Information

Primary practice address
15418 Main St Suite 106 Mill Creek WA 98012
Phone: (425) 225-8010
Fax: (425) 225-8009
Website:
Map and Directions
Authorized official contact:
Name: Go, George Doctor of Medicine (MD)
Phone: (425) 259-0966

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X CF58850 Washington

Profile Details

NPI number 1699844936
LBN Legal business name Optum Care Washington Pllc
DBA Doing business as Optum - Mill Creek Pharmacy
Authorized official Go, George Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 8th, 2006
Last updated Apr 11th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699844936 NPPES
Other 4932136 OTHER ID NUMBER-COMMERCIAL NUMBER

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