Organization
PHARMERICA DRUG SYSTEMS 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
833 MARLBOROUGH AVE, SUITE 100, RIVERSIDE, CA 92507-2133
(951) 784-1616
(951) 369-3974
Mailing address
3802 CORPOREX PARK DR STE 150, TAMPA, FL 33619-1135
(813) 318-6242
(813) 318-6346
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336L0003X
Long Term Care Pharmacy
LSC99085
CA
3336L0003X
Long Term Care Pharmacy
Primary
PHY48710
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0515378
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
1033142609
—
CA
01
—
LSC99437
STERILE COMPOUNDING LICENSE
CA
01
—
PHY48700
STATE BOARD OF PHARMACY
CA
Enumeration date
07/08/2006
Last updated
02/13/2024
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