Organization
CONCEPTION PHARMACY LLC
Active
Other names
Alto Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN HAMMOND (CONTRACTING)
(800) 874-5881
Entity
Organization
Contact information
Practice address
4950 TERMINAL ST STE 200, BELLAIRE, TX 77401-6013
(844) 602-1990
(415) 484-7058
Mailing address
4950 TERMINAL ST STE 200, BELLAIRE, TX 77401-6013
(800) 874-5881
(415) 484-7780
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31079
TX
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780126508
—
TX
01
—
2166128
PK
—
01
—
31079
PHARMACY PERMIT
TX
01
—
5920120
NCPDP
—
Enumeration date
11/10/2016
Last updated
07/16/2024
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