Organization
SENIORX PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MERRICK L SHIVELY R.PHD (OWNER/MANAGER)
(303) 664-0066
Entity
Organization
Contact information
Practice address
500 S ARTHUR AVE, SUITE 300B, LOUISVILLE, CO 80027-3065
(303) 664-0066
(303) 664-0099
Mailing address
500 S ARTHUR AVE, SUITE 300B, LOUISVILLE, CO 80027-3065
(303) 664-0066
(303) 664-0099
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
613
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0619520
NCPDP
CO
05
—
24783315
—
CO
Enumeration date
06/23/2006
Last updated
08/22/2020
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