Provider Demographics
NPI:1518631852
Name:OPTIMAL PHARMACY INC
Entity Type:Organization
Organization Name:OPTIMAL PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIRMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-455-5646
Mailing Address - Street 1:34 STATE ROUTE 35 N UNIT 38
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4743
Mailing Address - Country:US
Mailing Address - Phone:732-455-5646
Mailing Address - Fax:732-455-5646
Practice Address - Street 1:34 STATE ROUTE 35 N UNIT 38
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4743
Practice Address - Country:US
Practice Address - Phone:732-455-5646
Practice Address - Fax:732-455-5646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy