Optum Pharmacy 704, Inc.

LBN: Optum Pharmacy 704, Inc.
Optum Pharmacy 704, Inc. is an health care organization with primary practice located at 5627 University Hts Ste 108 , San Antonio TX 78249-3583. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Optum Pharmacy 704, Inc. can be contacted via phone (855) 427-4682, or through Burr, Kevin Eugene via phone (712) 310-4701.

Contact Information

Primary practice address
5627 University Hts Ste 108 San Antonio TX 78249-3583
Phone: (855) 427-4682
Fax: (877) 342-4596
Website:
Map and Directions
Authorized official contact:
Name: Burr, Kevin Eugene
Phone: (712) 310-4701

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1457408536
LBN Legal business name Optum Pharmacy 704, Inc.
DBA Doing business as
Authorized official Burr, Kevin Eugene
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
Last updated Feb 14th, 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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