Provider Demographics
NPI:1417295965
Name:ALPHA CARE PHARMACY
Entity Type:Organization
Organization Name:ALPHA CARE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:OSENI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:817-771-3119
Mailing Address - Street 1:945 HILLTOP DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-5891
Mailing Address - Country:US
Mailing Address - Phone:817-550-6332
Mailing Address - Fax:817-550-6331
Practice Address - Street 1:945 HILLTOP DR
Practice Address - Street 2:SUITE 100
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-5891
Practice Address - Country:US
Practice Address - Phone:817-550-6332
Practice Address - Fax:817-550-6331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28409333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy