# CONTINUUMCARE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ContinuumCare Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114095874
- **Authorized official:** THOMAS CANERIS (VICE PRESIDENT)
- **Authorized official phone:** (502) 627-7100

## Contact information

- **Practice address:** 1100 CENTRAL AVE, 1ST FLR, MIDDLETOWN, OH 45044-4011
- **Practice address phone:** (513) 422-7705
- **Practice address fax:** (513) 422-9238
- **Mailing address:** 74 PERRY WINKLE LN, HUNTINGTON, WV 25702-9506
- **Mailing address phone:** (304) 736-4608
- **Mailing address fax:** (304) 736-2456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 021855400 | OH | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 02/22/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3673539 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |