Organization
ROSE PHARMACY RM LLC
Active
Parent organization
OPTIORX, LLC
Other names
rose 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
35400 BOB HOPE DRIVE, SUITE #207, RANCHO MIRAGE, CA 92270
(760) 832-6287
(760) 832-6271
Mailing address
35400 BOB HOPE DRIVE, SUITE #207, RANCHO MIRAGE, CA 92270
(760) 832-6287
(760) 832-6271
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
05
—
1841775392
—
CA
01
—
7853430001
MEDICARE PTAN
—
01
—
PHY57776
CA BOARD OF PHARMACY LICENSE
CA
Enumeration date
10/01/2018
Last updated
09/24/2024
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