| NPI | 1669098398 |
|---|---|
| Doing Business As | OPTIMED MAIL ORDER |
| Entity Type | Organization |
| Authorized Contact | TED RAFFERTY Human Resources Manager 269-250-8000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |