# SENIORSCRIPT PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Seniorscript Pharmacy LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679715320
- **Authorized official:** ISRAEL GRUNWALD (MANAGER)
- **Authorized official phone:** (718) 963-0004

## Contact information

- **Practice address:** 5809 FOSTER AVE, BROOKLYN, NY 11234-1006
- **Practice address phone:** (718) 963-0004
- **Practice address fax:** (718) 963-0880
- **Mailing address:** 5809 FOSTER AVE, BROOKLYN, NY 11234-1006
- **Mailing address phone:** (718) 963-0004
- **Mailing address fax:** (718) 963-0880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 029469 | NY | Yes |

## Other

- **Enumeration date:** 03/26/2009
- **Last updated:** 01/25/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3361209 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |