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
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
52538
CA
3336L0003X
Long Term Care Pharmacy
—
—
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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