MEDICARE: ALTERA PHARMACY, PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	3336C0004X	Compounding Pharmacy
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1972393114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERA PHARMACY, PLLC

Provider Business Mailing Address
First Line	:	9113 STELLA LINK RD STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-3931
Country	:	US
Telephone Number	:	346-583-7948
Fax Number	:	346-583-7949

Provider Business Practice Location Address
First Line	:	9113 STELLA LINK RD STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-3931
Country	:	US
Telephone Number	:	346-583-7948
Fax Number	:	346-583-7949

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	AMEER HAMZA
Credential	:	RPH
Telephone Number	:	832-468-2584

Provider Enumeration Date	:	05/09/2025
Last Update Date	:	12/05/2025

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