# PHARMACY CORPORATION OF AMERICA

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

## Provider details

- **NPI number:** 1174556757
- **Legal business name:** PHARMERICA CORPORATION
- **Authorized official:** ALLISON L. BROWN (SECRETARY)
- **Authorized official phone:** (502) 630-7429

## Contact information

- **Practice address:** 3615 5TH ST, SUITE 109, RAPID CITY, SD 57701-6014
- **Practice address phone:** (605) 342-8132
- **Practice address fax:** (605) 343-3326
- **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 | — |
| 333600000X | Pharmacy | 1001503 | SD | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 100-1928 | SD | Yes |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4303638 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 8510010 | — | SD |
| 05 | — | 9166700 | — | SD |