# SENELORM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brick Church Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376069492
- **Authorized official:** DR. KENNETH SENELORM PHARMD (SUPERVISING PHARMACIST)
- **Authorized official phone:** (646) 228-2311

## Contact information

- **Practice address:** 520 MAIN ST, EAST ORANGE, NJ 07018-2217
- **Practice address phone:** (973) 395-2713
- **Practice address fax:** (973) 395-2715
- **Mailing address:** 520 MAIN ST, EAST ORANGE, NJ 07018-2217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/21/2017
- **Last updated:** 04/07/2022