Provider Demographics
NPI:1033840871
Name:ALTITUDERX LLC
Entity Type:Organization
Organization Name:ALTITUDERX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FOLAMI
Authorized Official - Middle Name:S
Authorized Official - Last Name:OSIKOYA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:720-281-5194
Mailing Address - Street 1:2621 S PARKER RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1617
Mailing Address - Country:US
Mailing Address - Phone:720-281-5194
Mailing Address - Fax:
Practice Address - Street 1:2621 S PARKER RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1617
Practice Address - Country:US
Practice Address - Phone:720-281-5194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy