# SENIOR CARE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SENIOR CARE PHARMACY INC
- **Other names:** Senior Care Pharmacy of South Alabama
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821646894
- **Legal business name:** SENIOR CARE PHARMACY INC
- **Authorized official:** PHILLIP CODY LONG (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (205) 391-3600

## Contact information

- **Practice address:** 101B VILLA DR STE B-260, DAPHNE, AL 36526-4653
- **Practice address phone:** (251) 264-6110
- **Practice address fax:** (877) 583-0120
- **Mailing address:** 101B VILLA DR STE B-260, DAPHNE, AL 36526-4653
- **Mailing address phone:** (251) 264-6110
- **Mailing address fax:** (877) 583-0120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/03/2019
- **Last updated:** 07/17/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 114940 | PHARMACY LICENSE | AL |