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Organization
SENIOR CARE PHARMACY SERVICES FAIRFIELD INC
Active
Organization
SENIOR CARE PHARMACY SERVICES FAIRFIELD INC
Active
Other names
Senior Care Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIT BANERJEE (CEO)
(714) 891-1800
Entity
Organization
Contact information
Practice address
4950 FULTON DR, SUITE A AND B, FAIRFIELD, CA 94534-1615
(707) 673-9800
(707) 673-9900
Mailing address
PO BOX 27458, ANAHEIM, CA 92809-0115
(714) 891-1800
(714) 891-1102
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
PHY50619
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5641332
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/27/2011
Last updated
02/20/2013
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