Healthcare Provider Details

I. General information

NPI: 1841546942
Provider Name (Legal Business Name): TARYN ALEXIS ALTMAN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2012
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 DIGITAL DR STE 200
NOVATO CA
94949-8705
US

IV. Provider business mailing address

8 DIGITAL DR STE 200
NOVATO CA
94949-8705
US

V. Phone/Fax

Practice location:
  • Phone: 415-455-9042
  • Fax: 415-455-9318
Mailing address:
  • Phone: 415-455-9042
  • Fax: 415-455-9318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number67266
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: