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NPI Code Detail

MEDICARE: ALTO PHARMACY, LLC

MEDICARE: ALTO PHARMACY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336S0011XSpecialty Pharmacy
33336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1038332OTHERNYPHARMACY
25831866OTHERNYNCPDP

General Provider Information

NPI Number : 1417578899
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALTO PHARMACY, LLC
Provider Business Mailing Address
First Line : 645 HARRISON ST STE 200
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94107-3624
Country : US
Telephone Number : 800-841-5881
Fax Number : 415-484-7058
Provider Business Practice Location Address
First Line : 100 PARK AVE STE FRONTE
Second Line :
City : NEW YORK
State : NY
Zip : 10017-5516
Country : US
Telephone Number : 800-874-5881
Fax Number : 415-484-7058
Authorized Official
Title or Position : SR. MANAGER OF OPERATIONS
Name : LAUREN HAMMOND
Credential :
Telephone Number : 800-874-5881
Provider Enumeration Date : 04/27/2020
Last Update Date : 10/26/2023

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