Organization
ALTA PHARMACEUTICAL CARE INC
Active
Other names
Alta Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAMMY ALTAAN (PHARM.D.)
(214) 330-5700
Entity
Organization
Contact information
Practice address
3434 W ILLINOIS AVE STE 7, DALLAS, TX 75211-8709
(214) 330-5700
(214) 330-5711
Mailing address
PO BOX 300, MCKINNEY, TX 75070-8135
(972) 603-8522
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
29241
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148011
—
TX
01
—
2146931
PK
—
Enumeration date
05/06/2014
Last updated
09/19/2025
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