Organization
SKYLINE RX INC
Active
Other names
OPTIMAL HEALTHCARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SENG K TAING (PRESIDENT/PIC)
(844) 870-0577
Entity
Organization
Contact information
Practice address
7320 WOODLAKE AVE, STE 100, WEST HILLS, CA 91307-1468
(844) 870-0577
(844) 870-0578
Mailing address
7320 WOODLAKE AVE, STE 100, WEST HILLS, CA 91307-1468
(844) 870-0577
(844) 870-0578
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50149
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0545852
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
PHY 50149
BOARD OF PHARMACY PERMIT
CA
Enumeration date
10/11/2005
Last updated
08/10/2015
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