# PHARMERICA LONG-TERM CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1811920499
- **Legal business name:** PHARMERICA CORPORATION
- **Authorized official:** ALLISON L. BROWN (SECRETARY)
- **Authorized official phone:** (502) 630-7429

## Contact information

- **Practice address:** 625 CENTRAL AVE W, SUITE 105, GREAT FALLS, MT 59404-2874
- **Practice address phone:** (800) 757-3713
- **Practice address fax:** (800) 295-1662
- **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 | 1065 | MT | — |
| 3336L0003X | Long Term Care Pharmacy | 1065 | MT | — |
| 3336L0003X | Long Term Care Pharmacy | 1229 | MT | Yes |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1811920499 | — | MT |
| 01 | — | PHA-PHR-LIC-58716 | BOARD OF PHARMACY | MT |