# 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:** 1194750133
- **Legal business name:** PHARMERICA CORPORATION
- **Authorized official:** ALLISON L. BROWN (SECRETARY)
- **Authorized official phone:** (502) 630-7429

## Contact information

- **Practice address:** 1900 MAIN ST, SUITE 3, WAILUKU, HI 96793-1900
- **Practice address phone:** (808) 249-2113
- **Practice address fax:** (808) 249-8082
- **Mailing address:** PO BOX 409244, ATLANTA, GA 30384-9244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PHY580 | HI | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 02/14/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 08013401 | — | HI |
| 01 | — | 1203621 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |