FacilityDetail

Last Updated:  12/23/2024 5:22:52 AM

Facility Detail                       
Corporation / Company Owner Name  
Business (DBA) Name   OPTUM COMPOUNDING SERVICES LLC 
License Number  88-B-6533 
Facility Type Outsourcing Facility 
Address

24416 N 19TH AVE STE 200

City, State, Zip PHOENIX,AZ 85085-1877 
Country   
Issue Date  08/21/2020 
Renewed Date 07/29/2021
Expiration Date  08/31/2022 
Renewal Month
End Date  09/17/2021 
Status CLOSED 
In Process?
 

Disciplinary Action
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Case Date   Case Number  
No records 
 

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