# SENIOR CARE PHARMACY OF THE WEST LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Senior Care Pharmacy of the West, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932404126
- **Authorized official:** ANDY TSAPATSARIS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (801) 410-1980

## Contact information

- **Practice address:** 380 W LAWNDALE DR, SALT LAKE CITY, UT 84115-2915
- **Practice address phone:** (801) 410-1980
- **Practice address fax:** (855) 209-6825
- **Mailing address:** 380 W LAWNDALE DR, SALT LAKE CITY, UT 84115-2915
- **Mailing address phone:** (801) 410-1980
- **Mailing address fax:** (855) 209-6825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 7819376-1704 | UT | Yes |

## Other

- **Enumeration date:** 01/19/2011
- **Last updated:** 12/07/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2128503 | PK | — |