Organization Name: | SENIOR PHARMACY, LLC |
NPI Number: | 1942257043 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT BERGER (DIRECTOR, BUSINESS OPERATIONS) |
Mailing Address: | 28717 Grumman Dr Eugene |
State: | OR US |
Postal Code: | 974029542 |
Phone Number: | 5416072000 |
Fax Number: | 5412848232 |
NPI Enumeration Date: | 05/27/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | RP-0002006-CS |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OR |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |