Organization
ALTAMED HEALTH SERVICE CORPOTATION
Active
Other names
ALTAMED PHARMACY PASADENNA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CASTULO DE LA ROCHA (PRESIDENT & CEO)
(323) 430-3286
Entity
Organization
Contact information
Practice address
1855 N FAIR OAKS AVE, STE 100, PASADENA, CA 91103-1620
(888) 499-9303
(626) 398-5848
Mailing address
1855 N FAIR OAKS AVE, STE 100, PASADENA, CA 91103-1620
(888) 499-9303
(626) 993-1222
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
51691
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166536
PK
—
Enumeration date
10/01/2014
Last updated
06/06/2024
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