Organization
ALTIMATE CARE PHARMACY LLC
Active
Organization
ALTIMATE CARE PHARMACY LLC
Active
Other names
Altimate Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE RICHARDSON (OWNER)
(940) 390-7103
Entity
Organization
Contact information
Practice address
2813 N COMMERCE ST STE 115, FORT WORTH, TX 76106-7245
(682) 385-9100
(682) 385-9102
Mailing address
2813 N COMMERCE ST STE 115, FORT WORTH, TX 76106-7245
(682) 385-9100
(682) 385-9102
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149538
—
TX
01
—
2164117
PK
—
Enumeration date
09/12/2016
Last updated
06/11/2020
Update your record
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