Provider Demographics
NPI:1841546942
Name:ALTMAN, TARYN ALEXIS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TARYN
Middle Name:ALEXIS
Last Name:ALTMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9091 WINDSOR RD
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CA
Mailing Address - Zip Code:95492-9702
Mailing Address - Country:US
Mailing Address - Phone:707-837-7948
Mailing Address - Fax:707-837-7949
Practice Address - Street 1:9091 WINDSOR RD
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CA
Practice Address - Zip Code:95492-9702
Practice Address - Country:US
Practice Address - Phone:707-837-7948
Practice Address - Fax:707-837-7949
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-27
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67266183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist