SENIOR CARE PHARMACY SERVICES FAIRFIELD INC; NPI #1154617215

Contact Information

SENIOR CARE PHARMACY SERVICES FAIRFIELD INC

4950 FULTON DR
SUITE A AND B
FAIRFIELD, CA 94534-1615

Phone: 707-673-9800
Fax: 707-673-9900
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Long Term Care Pharmacy	3336L0003X	58	Medical Supply Company with Pharmacist
Compounding Pharmacy	3336C0004X	58	Medical Supply Company with Pharmacist
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company
Institutional Pharmacy	3336I0012X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for SENIOR CARE PHARMACY SERVICES FAIRFIELD INC

NPI # 1154617215

LBN Legal business name SENIOR CARE PHARMACY SERVICES FAIRFIELD INC

Authorized official SAMIT BANERJEE - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/27/2011

Last updated 02/20/2013 - About 13 years ago

Identifiers

CA	License #	PHY50619
	Other	5641332	NCPDP PROVIDER IDENTIFICATION NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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