Organization
OPTIMAL PHARMACIES INC
Active
Parent organization
KOMOTO PHARMACY INC.
Other names
Komoto Custom Care Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
KOMOTO PHARMACY INC.
Authorized official
MR. PATRICK NELSON LEROY PHARM D (PHARMACIST-IN-CHARGE)
(661) 716-2673
Entity
Organization
Contact information
Practice address
2110 TRUXTUN AVE, STE 300, BAKERSFIELD, CA 93301-3703
(661) 716-2673
(661) 716-2677
Mailing address
2110 TRUXTUN AVE, STE 300, BAKERSFIELD, CA 93301-3703
(661) 716-2673
(661) 716-2677
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PHY46042
CA
3336C0004X
Compounding Pharmacy
Primary
PHY46042
CA
3336S0011X
Specialty Pharmacy
LSC99071
CA
Other
Enumeration date
12/20/2007
Last updated
11/26/2012
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