# SENIOR CARE PHARMACY SERVICES FAIRFIELD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Senior Care Pharmacy Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154617215
- **Authorized official:** SAMIT BANERJEE (CEO)
- **Authorized official phone:** (714) 891-1800

## Contact information

- **Practice address:** 4950 FULTON DR, SUITE A AND B, FAIRFIELD, CA 94534-1615
- **Practice address phone:** (707) 673-9800
- **Practice address fax:** (707) 673-9900
- **Mailing address:** PO BOX 27458, ANAHEIM, CA 92809-0115
- **Mailing address phone:** (714) 891-1800
- **Mailing address fax:** (714) 891-1102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PHY50619 | CA | Yes |

## Other

- **Enumeration date:** 06/27/2011
- **Last updated:** 02/20/2013