# PCA CORRECTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PCA Southern Indiana
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962870295
- **Authorized official:** MICHAEL BLACKETER (MANAGING PHARMACIST)
- **Authorized official phone:** (502) 608-9183

## Contact information

- **Practice address:** 1740 WILLIAMSBURG DR STE A, JEFFERSONVILLE, IN 47130-8066
- **Practice address phone:** (502) 964-5359
- **Mailing address:** 1740 WILLIAMSBURG DR STE A, JEFFERSONVILLE, IN 47130-8066
- **Mailing address phone:** (502) 964-5359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 60006494A | IN | Yes |

## Other

- **Enumeration date:** 09/03/2015
- **Last updated:** 09/17/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2153835 | PK | — |