NPI 1083045140
Optum Pharmacy 702, LLC
Practice location
- Address
- 1050 Patrol Rd, Jeffersonville, IN 47130-7750
- Phone
- (855) 427-4682
- Fax
- (877) 342-4596
- Mailing address
- 1 Optum Cir STE 100, Eden Prairie, MN 55344-2956
Authorised official
- Name
- Denise McCabe
- Title
- Secretary
- Phone
- (820) 245-4968
Registered specialties (3)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Registry record
- NPI
- 1083045140
- Entity type
- Organization
- NPI issued
- 27 Nov 2013
- Record last updated
- 13 Jul 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.