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Organization

PHARMACY CORPORATION OF AMERICA

Active
Parent organization
PHARMERICA CORPORATION
Other names
PHARMERICA KAUAI
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
2970 KELE ST, SUITE 113A, LIHUE, HI 96766-1803
(808) 245-8024
(808) 245-8165
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
3336L0003X
Long Term Care Pharmacy
Primary
PHY651
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1204510
OTHER ID NUMBER-COMMERCIAL NUMBER
05
55362901
HI
Enumeration date
07/08/2006
Last updated
02/13/2024
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