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Organization
SENIOR CARE PHARMACY INC
Active
Organization
SENIOR CARE PHARMACY INC
Active
Other names
SENIOR CARE PHARMACY, INC
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP CODY LONG (CHIEF FINANCIAL OFFICER)
(205) 391-3600
Entity
Organization
Contact information
Practice address
4373 NORTHCREEK BLVD, NORTHPORT, AL 35473-2171
(205) 391-3636
(866) 680-7046
Mailing address
4373 NORTHCREEK BLVD, NORTHPORT, AL 35473-2171
(205) 391-3636
(866) 680-7046
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
113151
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001796
—
AL
01
—
1990860
PK
—
Enumeration date
10/18/2005
Last updated
07/17/2024
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