Provider Demographics
NPI:1508877150
Name:PHARMACY ALTERNATIVES LLC
Entity Type:Organization
Organization Name:PHARMACY ALTERNATIVES LLC
Other - Org Name:PHARMACY ALTERNATIVES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DELOMEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:512-383-9229
Mailing Address - Street 1:5810 TRADE CENTER DR
Mailing Address - Street 2:BLDG 1 STE 400
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-1368
Mailing Address - Country:US
Mailing Address - Phone:512-383-9229
Mailing Address - Fax:512-383-0177
Practice Address - Street 1:5810 TRADE CENTER DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78744-1368
Practice Address - Country:US
Practice Address - Phone:512-383-9229
Practice Address - Fax:866-370-4347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX250773336L0003X
KS22-129983336L0003X
OK99-55553336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2099224OtherPK