Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareSENIOR PHARMACY, LLC
Assisted Living Facility
Eugene, Oregon
Provider NPI: 1942257043
Organization Information:Organization Name: SENIOR PHARMACY, LLC
Practice Location:
28717 GRUMMAN DR EUGENE, OR 97402 US
Tel: 541-607-2000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
28717 GRUMMAN DR EUGENE, OR 97402 US
Tel: 541-607-2000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| X | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | OR | RP-0002006-CS |
| X | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | OR | IP-0001818-CS |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 227137 | OR | 05 | |
| 227136 | OR | 05 | |
| NCPDP | 3814034 | OR | 01 |
| DEA | BS6870415 | OR | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin