| NPI | 1679165484 |
|---|---|
| Doing Business As | OPTIMUM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RUBEN AKHAMZADEH President/CEO 310-704-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2021-09-09 |