# SENIOR CARE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SENIOR CARE PHARMACY, INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346239795
- **Authorized official:** PHILLIP CODY LONG (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (205) 391-3600

## Contact information

- **Practice address:** 4373 NORTHCREEK BLVD, NORTHPORT, AL 35473-2171
- **Practice address phone:** (205) 391-3636
- **Practice address fax:** (866) 680-7046
- **Mailing address:** 4373 NORTHCREEK BLVD, NORTHPORT, AL 35473-2171
- **Mailing address phone:** (205) 391-3636
- **Mailing address fax:** (866) 680-7046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 113151 | AL | Yes |

## Other

- **Enumeration date:** 10/18/2005
- **Last updated:** 07/17/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100001796 | — | AL |
| 01 | — | 1990860 | PK | — |