# BOIES MEDICAL CENTER PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Optimal Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144400706
- **Authorized official:** MR. TAREQ AHMAD AL MUGHAZZEZ R.PH. (CEO)
- **Authorized official phone:** (650) 743-3235

## Contact information

- **Practice address:** 6110 FAIR OAKS BLVD, STE \#E, CARMICHAEL, CA 95608-4872
- **Practice address phone:** (916) 978-0866
- **Practice address fax:** (877) 914-2220
- **Mailing address:** 6110 FAIR OAKS BLVD., STE \#E, CARMICHAEL, CA 95608-4873
- **Mailing address phone:** (916) 978-0856
- **Mailing address fax:** (877) 914-2220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 52538 | CA | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/12/2007
- **Last updated:** 07/31/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1144400706 | — | CA |
| 01 | — | 2128945 | PK | — |