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General NPI Number Information
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NPI Number | 1235653221
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Entity Type | Organization
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Legal Business Name | SENIOR CARE PHARMACY INC
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 1424 MONTCLAIR RD STE 6101
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City | BIRMINGHAM
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State | AL
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Zip | 35210-2208
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Country | US
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Telephone | 205-951-3939
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Fax |
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Provider Business Mailing Address
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Address Line | 1424 MONTCLAIR RD STE 6101
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City | BIRMINGHAM
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State | AL
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Zip | 35210-2208
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | PHILLIP CODY LONG
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Credential |
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Telephone | 205-391-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 114734
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 114734
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License Number State | AL
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