| NPI | 1760889448 |
|---|---|
| Doing Business As | OPTUMRX OF ILLINOIS |
| Entity Type | Organization |
| Authorized Contact | YONG LEE PIC 331-201-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: IL 054.019864) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2016-08-10 |