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
4171 N MESA ST, SUITE 210A, EL PASO, TX 79902
(915) 545-1955
(915) 545-2168
Mailing address
3802 CORPOREX PARK DR STE 150, TAMPA, FL 33619-1135
(813) 318-6039
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
19294
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19294
BOARD OF PHARMACY
TX
05
—
350131
—
TX
05
—
66779871
—
NM
01
—
CS00222097
CONTROLLED SUBSTANCE
NM
01
—
PH00004000
BOARD OF PHARMACY
NM
Enumeration date
07/08/2006
Last updated
02/13/2024
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