Healthcare Provider Details

I. General information

NPI: 1679805220
Provider Name (Legal Business Name): SENIOR CARE PHARMACY SFV INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2010
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 WHEATLAND AVE SUITE I
SUN VALLEY CA
91352-5316
US

IV. Provider business mailing address

PO BOX 27458
ANAHEIM CA
92809-0115
US

V. Phone/Fax

Practice location:
  • Phone: 818-394-6100
  • Fax: 818-394-6150
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number56057
License Number StateCA

VIII. Authorized Official

Name: SAMIT BANERJEE
Title or Position: CEO
Credential:
Phone: 714-891-1800