Healthcare Provider Details

I. General information

NPI: 1922960301
Provider Name (Legal Business Name): OPTIMALRX SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

864 PARKLYN WAY
FERNDALE WA
98248-9756
US

IV. Provider business mailing address

864 PARKLYN WAY
FERNDALE WA
98248-9756
US

V. Phone/Fax

Practice location:
  • Phone: 360-318-6457
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANATOLIY DATSKIY
Title or Position: PHARMACIST
Credential: PHARMD
Phone: 360-318-6457