Organization
SENIOR CARE PHARMACY SERVICES INC
Active
Other names
SENIOR CARE PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIT BANERJEE (CEO)
(714) 891-1800
Entity
Organization
Contact information
Practice address
12600 HOOVER ST, GARDEN GROVE, CA 92841-4100
(714) 891-1800
(714) 891-1102
Mailing address
PO BOX 27458, ANAHEIM, CA 92809-0115
(714) 891-1800
(714) 891-1102
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY46000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0566919
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA460000
—
CA
Enumeration date
05/01/2006
Last updated
02/20/2013
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