| Name: | Optum Pharmacy 705, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 01 Apr 2003 (22 years ago) (Companies founded in April 2003) |
| Entity Number: | 000-689-280 |
| Register Number: | 000689280 |
| Historical Names: |
MedfusionRx, LLC
BriovaRx, LLC |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Alabama |
| Principal Address: | 11000 OPTUM CIRCLEEDEN PRAIRIE, MN 55344 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Activities
WHOLESALE/RETAIL PHARMACY SALES/OPERATE AN INFUSION CLINIC
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | Optum Pharmacy 705, LLC | 10245459 | Alaska |
| Headquarter of | Optum Pharmacy 705, LLC | LLC_03853004 | ILLINOIS |
| Headquarter of | Optum Pharmacy 705, LLC | 2536ba90-6655-ed11-906b-00155d32b947 | MINNESOTA |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HY4AVPKH6GU9 | 2025-04-17 | 1100 LEE BRANCH LN, BIRMINGHAM, AL, 35242, 7298, USA | MN103-CCOE, 11000 OPTUM CIRCLE, EDEN PRAIRIE, MN, 55344, USA | |||||||||||||||||||||||||||||||||||||||||
|
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| Congressional District | 06 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2024-04-19 |
| Initial Registration Date | 2024-04-01 |
| Entity Start Date | 2003-05-05 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621610 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SONYA COLUMBUS |
| Role | ASSOCIATE CONTRACT ADMINISTRATOR |
| Address | PO BOX 851378, MINNEAPOLIS, MN, 55485, 1378, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SONYA COLUMBUS |
| Role | ASSOCIATE CONTRACT ADMINISTRATOR |
| Address | PO BOX 851378, MINNEAPOLIS, MN, 55485, 1378, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154306801 | 2005-12-14 | 2024-02-08 | 11000 OPTUM CIR STE 100, EDEN PRAIRIE, MN, 553442503, US | 1100 LEE BRANCH LN, BIRMINGHAM, AL, 352427298, US | |||||||||||||||||||||
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| Phone | +1 800-328-5979 |
| Phone | +1 205-995-8388 |
| Fax | 2059958897 |
Authorized person
| Name | KEVIN EUGENE BURR |
| Role | SECRETARY |
| Phone | 7123104701 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| CIK number | Mailing Address | Business Address | Phone | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1601629 | 1600 MCCONNOR PARKWAY, SCHAUMBURG, IL, 60173-6801 | 1600 MCCONNOR PARKWAY, SCHAUMBURG, IL, 60173-6801 | (800) 282-3232 | |||||||||||||||||||||||||
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| Form type | 424B5 |
| File number | 333-194350-14 |
| Filing date | 2014-03-10 |
| File | View File |
Filings since 2014-03-06
| Form type | 424B5 |
| File number | 333-194350-14 |
| Filing date | 2014-03-06 |
| File | View File |
Filings since 2014-03-06
| Form type | S-3ASR |
| File number | 333-194350-14 |
| Filing date | 2014-03-06 |
| File | View File |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339 |
| Name | Role | Address |
|---|---|---|
| BRIOVARX OF MAINE INC | Member | 2441 WARRENVILLE ROAD SUITE 610LISLE, IL 60532-3642 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2021-08-13 | Name Merged | No data | AssuranceRx, LLC |
| 2021-04-05 | Name Merged | No data | BriovaRx of Georgia, LLC |
| 2021-03-30 | Name Merged | No data | BIRIOVARX OF LOUISIANA, L.L.C. * Not On File Into Domestic |
| 2019-09-09 | Name Change | BriovaRx, LLC | Optum Pharmacy 705, LLC |
| 2012-09-25 | Name Change | MedfusionRx, LLC | BriovaRx, LLC |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
