Provider Demographics
NPI:1154209203
Name:OPTIMALRX THERAPEUTICS
Entity type:Organization
Organization Name:OPTIMALRX THERAPEUTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAINAB
Authorized Official - Middle Name:
Authorized Official - Last Name:KHATOON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:763-339-6674
Mailing Address - Street 1:2668 109TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55449-5366
Mailing Address - Country:US
Mailing Address - Phone:763-339-6674
Mailing Address - Fax:
Practice Address - Street 1:2668 109TH AVE NE
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55449-5366
Practice Address - Country:US
Practice Address - Phone:763-339-6674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy