Organization
SENIOR CARE PHARMACY INC
Active
Other names
SENIOR CARE PHARMACY, INC
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP CODY LONG (CHIEF FINANCIAL OFFICER)
(205) 391-3600
Entity
Organization
Contact information
Practice address
4373 NORTHCREEK BLVD, NORTHPORT, AL 35473-2171
(205) 391-3636
(866) 680-7046
Mailing address
4373 NORTHCREEK BLVD, NORTHPORT, AL 35473-2171
(205) 391-3636
(866) 680-7046
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
113151
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001796
—
AL
01
—
1990860
PK
—
Enumeration date
10/18/2005
Last updated
07/17/2024
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