Organization
SENIOR CARE PHARMACY OF THE WEST LLC
Active
Other names
Senior Care Pharmacy of the West, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY TSAPATSARIS (EXECUTIVE DIRECTOR)
(801) 410-1980
Entity
Organization
Contact information
Practice address
380 W LAWNDALE DR, SALT LAKE CITY, UT 84115-2915
(801) 410-1980
(855) 209-6825
Mailing address
380 W LAWNDALE DR, SALT LAKE CITY, UT 84115-2915
(801) 410-1980
(855) 209-6825
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
7819376-1704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128503
PK
—
Enumeration date
01/19/2011
Last updated
12/07/2016
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