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Organization

PHARMERICA LONG-TERM CARE LLC

Active
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Organization

PHARMERICA LONG-TERM CARE LLC

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
625 CENTRAL AVE W, SUITE 105, GREAT FALLS, MT 59404-2874
(800) 757-3713
(800) 295-1662
Mailing address
3802 CORPOREX PARK DR, STE 200, TAMPA, FL 33619-1125
(813) 318-6039

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1065
MT
3336L0003X
Long Term Care Pharmacy
1065
MT
3336L0003X
Long Term Care Pharmacy
Primary
1229
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811920499
—
MT
01
—
PHA-PHR-LIC-58716
BOARD OF PHARMACY
MT
Enumeration date
07/08/2006
Last updated
02/13/2024
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