Organization
SENIOR CARE RX LLC
Active
Other names
Senior Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH DOURRA (OWNER/PHARMACIST)
(313) 559-7272
Entity
Organization
Contact information
Practice address
34794 WARREN RD, WESTLAND, MI 48185-2772
(313) 424-4464
(313) 474-5080
Mailing address
34794 WARREN RD, WESTLAND, MI 48185-2772
(313) 424-4464
(313) 474-5080
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457905259
—
MI
Enumeration date
07/30/2019
Last updated
08/25/2021
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