# PHARMACY CORPORATION OF AMERICA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHARMERICA CORPORATION
- **Other names:** PHARMERICA KAUAI
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003849670
- **Legal business name:** PHARMERICA CORPORATION
- **Authorized official:** ALLISON L. BROWN (SECRETARY)
- **Authorized official phone:** (502) 630-7429

## Contact information

- **Practice address:** 2970 KELE ST, SUITE 113A, LIHUE, HI 96766-1803
- **Practice address phone:** (808) 245-8024
- **Practice address fax:** (808) 245-8165
- **Mailing address:** 3802 CORPOREX PARK DR, STE 200, TAMPA, FL 33619-1125
- **Mailing address phone:** (813) 318-6039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PHY651 | HI | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 02/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1204510 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 55362901 | — | HI |