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Organization
BOIES MEDICAL CENTER PHARMACY INC
Active
Organization
BOIES MEDICAL CENTER PHARMACY INC
Active
Other names
Optimal Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAREQ AHMAD AL MUGHAZZEZ R.PH. (CEO)
(650) 743-3235
Entity
Organization
Contact information
Practice address
6110 FAIR OAKS BLVD, STE #E, CARMICHAEL, CA 95608-4872
(916) 978-0866
(877) 914-2220
Mailing address
6110 FAIR OAKS BLVD., STE #E, CARMICHAEL, CA 95608-4873
(916) 978-0856
(877) 914-2220
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
52538
CA
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144400706
—
CA
01
—
2128945
PK
—
Enumeration date
11/12/2007
Last updated
07/31/2023
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