Organization
LANDMARK PHARMA INC
Active
Other names
ALTA CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JINESH PATEL (PRESIDENT, AO)
(714) 270-7432
Entity
Organization
Contact information
Practice address
1113 ALTA AVE STE 100, UPLAND, CA 91786-2804
(909) 360-8352
(909) 360-8372
Mailing address
1113 ALTA AVE STE 100, UPLAND, CA 91786-2804
(909) 360-8352
(909) 360-8372
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
55396
CA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166065
PK
—
Enumeration date
11/02/2016
Last updated
05/01/2017
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