Healthcare Provider Details

I. General information

NPI: 1942242391
Provider Name (Legal Business Name): SENIOR PHARMACY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 06/04/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 E HEBRON PKWY STE 100B
CARROLLTON TX
75010
US

IV. Provider business mailing address

2501 E HEBRON PKWY SUITE 100B
CARROLLTON TX
75010
US

V. Phone/Fax

Practice location:
  • Phone: 972-492-2151
  • Fax: 972-492-6437
Mailing address:
  • Phone: 972-492-8841
  • Fax: 972-300-3640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number31439
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ERIKA GALLARDO
Title or Position: OFFICE ADMINISTRATOR/AR
Credential:
Phone: 972-492-8841