# PHARMERICA DRUG SYSTEMS LLC

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

## Provider details

- **NPI number:** 1114950789
- **Legal business name:** PHARMERICA CORPORATION
- **Authorized official:** ALLISON L. BROWN (SECRETARY)
- **Authorized official phone:** (502) 630-7429

## Contact information

- **Practice address:** 11205 KNOTT AVE, SUITE C, CYPRESS, CA 90630-5489
- **Practice address phone:** (714) 891-5145
- **Practice address fax:** (714) 901-2468
- **Mailing address:** 3802 CORPOREX PARK DR STE 150, TAMPA, FL 33619-1135
- **Mailing address phone:** (502) 394-2100
- **Mailing address fax:** (502) 627-7401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | LSC99079 | CA | — |
| 3336L0003X | Long Term Care Pharmacy | PHY48709 | CA | Yes |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0595287 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 114950789 | — | CA |
| 05 | — | PHA460540 | — | CA |