Organization
RA INVESTMENT CAPITAL,INC
Active
Other names
OPTIMUM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN AKHAMZADEH PHARM D (PRESIDENT/CEO)
(310) 704-7999
Entity
Organization
Contact information
Practice address
1080 S LA CIENEGA BLVD STE 105, LOS ANGELES, CA 90035-2686
(310) 704-7999
Mailing address
1080 S LA CIENEGA BLVD STE 105, LOS ANGELES, CA 90035-2686
(310) 704-7999
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY58083
BOARD OF PHARMACY
CA
Enumeration date
02/04/2021
Last updated
09/09/2021
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