| NPI | 1811360100 |
|---|---|
| Doing Business As | OPTIMUM WELLNESS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARK HAYWOOD Ower/Rph 812-518-3428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2016-03-31 |