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Organization

SENIOR CARE PHARMACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENIFER PENA (MANAGER)
(847) 579-0093
Entity
Organization

Contact information

Practice address
4043 MAIN ST, SKOKIE, IL 60076-2778
(847) 579-0093
(847) 983-4766
Mailing address
4043 MAIN ST, SKOKIE, IL 60076-2778
(847) 579-0093
(847) 983-4766

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
054016421
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2023668
PK
Enumeration date
04/22/2008
Last updated
04/18/2018
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