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NPI Code Detail

MEDICARE: SENIOR CARE PHARMACY INC

MEDICARE: SENIOR CARE PHARMACY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336L0003XLong Term Care Pharmacy113151AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21990860OTHERPK

General Provider Information

NPI Number : 1346239795
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENIOR CARE PHARMACY INC
Provider Business Mailing Address
First Line : 4373 NORTHCREEK BLVD
Second Line :
City : NORTHPORT
State : AL
Zip : 35473-2171
Country : US
Telephone Number : 205-391-3636
Fax Number : 866-680-7046
Provider Business Practice Location Address
First Line : 4373 NORTHCREEK BLVD
Second Line :
City : NORTHPORT
State : AL
Zip : 35473-2171
Country : US
Telephone Number : 205-391-3636
Fax Number : 866-680-7046
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : PHILLIP CODY LONG
Credential :
Telephone Number : 205-391-3600
Provider Enumeration Date : 10/18/2005
Last Update Date : 07/17/2024

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Directions to “SENIOR CARE PHARMACY INC ” Practice Location

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