# SENIOR CARE PHARMACY SERVICES INC

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

## Provider details

- **NPI number:** 1720046709
- **Authorized official:** SAMIT BANERJEE (CEO)
- **Authorized official phone:** (714) 891-1800

## Contact information

- **Practice address:** 12600 HOOVER ST, GARDEN GROVE, CA 92841-4100
- **Practice address phone:** (714) 891-1800
- **Practice address fax:** (714) 891-1102
- **Mailing address:** PO BOX 27458, ANAHEIM, CA 92809-0115
- **Mailing address phone:** (714) 891-1800
- **Mailing address fax:** (714) 891-1102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PHY46000 | CA | Yes |

## Other

- **Enumeration date:** 05/01/2006
- **Last updated:** 02/20/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0566919 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | PHA460000 | — | CA |