Organization
ALTAMED HEALTH SERVICE CORPOTATION
Active
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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