Organization
OPTIMUM CARE PHARMACY INC.
Active
Other names
Marbella Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD ALMASRI (PHARMACY MANAGER)
(949) 388-2364
Entity
Organization
Contact information
Practice address
31103 RANCHO VIEJO RD STE D1, SAN JUAN CAPISTRANO, CA 92675-1759
(949) 388-2364
(949) 388-2370
Mailing address
31103 RANCHO VIEJO RD STE D1, SAN JUAN CAPISTRANO, CA 92675-1759
(949) 388-2364
(949) 388-2370
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
54455
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162045
PK
—
Enumeration date
07/13/2016
Last updated
12/01/2020
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