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Organization
SENIOR CARE PHARMACY OF THE WEST, LLC
Active
Organization
SENIOR CARE PHARMACY OF THE WEST, LLC
Active
Parent organization
SENIOR CARE PHARMACY OF THE WEST, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SENIOR CARE PHARMACY OF THE WEST, LLC
Authorized official
MR. GLEN KEITH ANDERSON RPH (EXECUTIVE DIRECTOR)
(801) 410-1980
Entity
Organization
Contact information
Practice address
927 INDUSTRIAL WAY, LODI, CA 95240-3105
(888) 915-3566
(888) 692-5991
Mailing address
927 INDUSTRIAL WAY, LODI, CA 95240-3105
(888) 915-3566
(888) 692-5991
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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