Organization
SENIOR CARE PHARMACY INC
Active
Parent organization
SENIOR CARE PHARMACY INC
Other names
Senior Care Pharmacy of South Alabama
Organization subpart
Yes
Provider details
NPI number
Legal business name
SENIOR CARE PHARMACY INC
Authorized official
PHILLIP CODY LONG (CHIEF FINANCIAL OFFICER)
(205) 391-3600
Entity
Organization
Contact information
Practice address
101B VILLA DR STE B-260, DAPHNE, AL 36526-4653
(251) 264-6110
(877) 583-0120
Mailing address
101B VILLA DR STE B-260, DAPHNE, AL 36526-4653
(251) 264-6110
(877) 583-0120
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114940
PHARMACY LICENSE
AL
Enumeration date
09/03/2019
Last updated
07/17/2024
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