Organization
SENIOR CARE PHARMACY OF FLORIDA LLC
Active
Other names
SENIOR CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN OBRINGER (EXECUTIVE DIRECTOR)
(863) 577-1440
Entity
Organization
Contact information
Practice address
4175 S PIPKIN RD STE 208, LAKELAND, FL 33811-1699
(863) 577-1440
Mailing address
931 FAIRFAX PARK, ATTN: LYNN CONNOR, TUSCALOOSA, AL 35406-2805
(205) 310-8627
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH18723
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025634000
—
FL
01
—
2014992
PK
—
Enumeration date
11/14/2005
Last updated
02/14/2017
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