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Organization
SENIOR CARE PHARMACY SERVICES INC
Active
Organization
SENIOR CARE PHARMACY SERVICES INC
Active
Other names
SENIOR CARE PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIT BANERJEE (CEO)
(714) 891-1800
Entity
Organization
Contact information
Practice address
12600 HOOVER ST, GARDEN GROVE, CA 92841-4100
(714) 891-1800
(714) 891-1102
Mailing address
PO BOX 27458, ANAHEIM, CA 92809-0115
(714) 891-1800
(714) 891-1102
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
PHY46000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0566919
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA460000
—
CA
Enumeration date
05/01/2006
Last updated
02/20/2013
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