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Organization
SENIOR CARE PHARMACY LLC
Active
Organization
SENIOR CARE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENIFER PENA (MANAGER)
(847) 579-0093
Entity
Organization
Contact information
Practice address
4043 MAIN ST, SKOKIE, IL 60076-2778
(847) 579-0093
(847) 983-4766
Mailing address
4043 MAIN ST, SKOKIE, IL 60076-2778
(847) 579-0093
(847) 983-4766
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054016421
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023668
PK
—
Enumeration date
04/22/2008
Last updated
04/18/2018
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