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Organization
PHARMACY CORPORATION OF AMERICA
Active
Organization
PHARMACY CORPORATION OF AMERICA
Active
Parent organization
PHARMERICA CORPORATION
Other names
PHARMERICA
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHARMERICA CORPORATION
Authorized official
ALLISON L. BROWN (SECRETARY)
(502) 630-7429
Entity
Organization
Contact information
Practice address
2236 BROUSSARD ST., TYLER, TX 75701
(903) 509-4950
(903) 509-8313
Mailing address
3802 CORPOREX PARK DR STE 150, TAMPA, FL 33619-1135
(813) 318-6039
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
15629
TX
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1243477
—
LA
05
—
350033
—
TX
01
—
4589555
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/08/2006
Last updated
02/13/2024
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