Organization
SENIORSCRIPT PHARMACY
Active
Other names
Seniorscript Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL GRUNWALD (MANAGER)
(718) 963-0004
Entity
Organization
Contact information
Practice address
5809 FOSTER AVE, BROOKLYN, NY 11234-1006
(718) 963-0004
(718) 963-0880
Mailing address
5809 FOSTER AVE, BROOKLYN, NY 11234-1006
(718) 963-0004
(718) 963-0880
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
029469
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3361209
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/26/2009
Last updated
01/25/2011
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