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Optum Infusion Services 204, Inc.
Specialty Pharmacy in Pensacola, Florida
NPI 1356538771

Optum Infusion Services 204, Inc. is a Specialty Pharmacy based in Pensacola, FL and is specialized in Specialty Pharmacy. Optum Infusion Services 204, Inc. practices in Pensacola, FL. The NPI Number for Optum Infusion Services 204, Inc. is 1356538771 and holds a License No. PH27820 (Florida).

The current practice location address for Optum Infusion Services 204, Inc. is 826 Creighton Rd, Pensacola, FL and can be reached out via phone at 866-522-8438 and via fax at 844-246-1271.

Location: 826 Creighton Rd, Pensacola, FL, 32504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356538771
Provider Name
Optum Infusion Services 204, Inc.
Credential
Provider Entity Type
Organization
Address
826 Creighton Rd, Pensacola, FL, 32504
Phone Number
866-522-8438
Fax Number
844-246-1271
Provider Enumeration Date
09/30/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016048600 05 FL
1029215 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
826 Creighton Rd
City
Pensacola
State
Florida
Zip
32504-7076
Phone Number
866-522-8438
Fax Number
844-246-1271
person
Provider Business Mailing Address Details
Address
826 Creighton Rd
City
Pensacola
State
Florida
Zip
32504-7076
Phone Number
866-522-8438
Fax Number
844-246-1271
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Home Infusion Therapy Pharmacy
Taxonomy
3336H0001X
License No.
()
Definition
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
3336M0003X
License No.
PH22890 (Florida)
Definition
A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
PH27820 (Florida)
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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