# LONE STAR PHARMACY LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PharMerica
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124182373
- **Authorized official:** THOMAS CANERIS (VICE PRESIDENT)
- **Authorized official phone:** (502) 627-7555

## Contact information

- **Practice address:** 1417 E INTERSTATE 30, STE 3, GARLAND, TX 75043-4786
- **Practice address phone:** (972) 303-7572
- **Practice address fax:** (972) 303-5470
- **Mailing address:** PO BOX 409244, ATLANTA, GA 30384-9244
- **Mailing address phone:** (813) 318-6135
- **Mailing address fax:** (813) 318-6346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 22335 | TX | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 06/30/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4526399 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |