| Name: | OPTUM PHARMACY 702, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 23 Aug 2023 (a year ago) |
| Entity Number: | 10245837 |
| Place of Formation: | INDIANA |
| Address: | 11000 OPTUM CIRCLE, EDEN PRAIRIE , MN 55344 |
Line of Business
44-45 Retail TradeNAICS
456110 PHARMACIES AND DRUG RETAILERS| Name | Role |
|---|---|
| OptumRx PBM of Illinois, Inc. | Member |
| Erin Ann Satterwhite | Manager |
| C T Corporation System | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 2186484 | Business License | Active | 2023-09-25 | 2024-10-10 | 2026-12-31 | LOB: 44-45 - Retail Trade, NAICS: 456110 - PHARMACIES AND DRUG RETAILERS |
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| 154119 | Pharmacy | Pharmacy | Active | 2019-11-05 | 2024-06-11 | 2026-06-30 |
Date of last update: 23 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
