Organization · Type 2 NPI

Optum Pharmacy 704, Inc.

Community/Retail Pharmacy · San Antonio, TX

NPI number 1457408536 Active

Practice location

5627 University Hts Ste 108
San Antonio, TX 78249-3583

Call (855) 427-4682 Map

Fax (877) 342-4596

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None 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 …

2 other providers at this address

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About NPI 1457408536

Optum Pharmacy 704, Inc.'s National Provider Identifier is 1457408536, issued on Jan 4, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in San Antonio, TX. The record was last updated on Jul 13, 2026.