# 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:** 1629095252
- **Legal business name:** PHARMERICA CORPORATION
- **Authorized official:** MR. STEPHAN A. LARIVIERE (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (502) 627-7404

## Contact information

- **Practice address:** 350 MYLES STANDISH BLVD STE 104, TAUNTON, MA 02780-7387
- **Practice address phone:** (508) 427-5000
- **Practice address fax:** (508) 427-5945
- **Mailing address:** PO BOX 490244, ATLANTA, GA 30384-9244
- **Mailing address phone:** (813) 378-6274
- **Mailing address fax:** (813) 318-6346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 12/03/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445185 | — | MA |