Provider Demographics
NPI:1760913537
Name:OPTIMAL PHARMACY INC
Entity Type:Organization
Organization Name:OPTIMAL PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YURIY
Authorized Official - Middle Name:
Authorized Official - Last Name:LITVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-307-4424
Mailing Address - Street 1:34 ROUTE 35 N
Mailing Address - Street 2:UNIT 38
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:732-455-5647
Practice Address - Street 1:34 ROUTE 35 N
Practice Address - Street 2:UNIT 38
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:732-455-5647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-23
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS007551003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy