Organization · Type 2 NPI

Optum Pharmacy 702, LLC

Community/Retail Pharmacy · Jeffersonville, IN

NPI number 1083045140 Active

Practice location

1050 Patrol Rd
Jeffersonville, IN 47130-7750

Fax (877) 342-4596

Mailing address

1 Optum Cir Ste 100
Eden Prairie, MN 55344-2956

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy 333600000XNone listed
Community/Retail Pharmacy Primary 3336C0003XNone listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

4 other providers at this address

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About NPI 1083045140

Optum Pharmacy 702, LLC's National Provider Identifier is 1083045140, issued on Nov 27, 2013. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Jeffersonville, IN. The record was last updated on Jul 13, 2026.