Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Optum Pharmacy 704, Inc

Organization Pharmacy · NPI 1154893600

Optum Pharmacy 704, Inc is a Pharmacy in San Antonio, Texas. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5627 University Hts Ste 108
San Antonio, TX 78249-3583
Phone: (800) 562-6223
Fax: (800) 491-7997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mail Order Pharmacy (primary) Taxonomy 3336M0002X
Pharmacy Taxonomy 333600000X

Record details

NPI number1154893600
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denise McCabe — Secretary · (820) 245-4968
NPI enumeratedDecember 21, 2018
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026
Mailing address1 Optum Cir Ste 100, Eden Prairie, MN 55344-2956

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