| NPI | 1518374156 |
|---|---|
| Doing Business As | OPTIMAL WELLNESS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KATHEIRNE DIEP-KWEI President 949-861-3164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY51981) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2020-07-16 |