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General NPI Number Information
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NPI Number | 1487503876
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Entity Type | Organization
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Legal Business Name | ALT PHARMA LLC
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 581 MCCRAY ST # A
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City | HOLLISTER
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State | CA
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Zip | 95023-4091
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Country | US
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Telephone | 831-664-1150
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Fax | 831-664-1165
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Provider Business Mailing Address
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Address Line | 2882 BIRKDALE CT
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City | GILROY
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State | CA
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Zip | 95020-3019
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Country | US
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Telephone | 408-839-7945
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Fax | 408-848-6901
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Authorized Official
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Title or Position | CEO
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Name | SEYED ALI NOWBAR
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Credential | RPH
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Telephone | 408-839-7945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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