Organization
SMC PHARMACY LLC
Active
Organization
SMC PHARMACY LLC
Active
Parent organization
OPTIORX LLC
Other names
SMC PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPTIORX LLC
Authorized official
LEO LAFRANCO (CFO)
(630) 242-8969
Entity
Organization
Contact information
Practice address
1908 SANTA MONICA BLVD, STE 4, SANTA MONICA, CA 90404-1927
(310) 315-9999
(310) 315-9990
Mailing address
1908 SANTA MONICA BLVD, STE 4, SANTA MONICA, CA 90404-1927
(310) 315-9999
(310) 315-9990
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518265628
—
CA
01
—
57575
CA BOARD OF PHARMACY PHY 57575
CA
Enumeration date
03/14/2011
Last updated
09/24/2024
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