Organization
PHARMACY CORPORATION OF AMERICA
Active
Parent organization
PHARMERICA HOLDINGS, INC.
Other names
PropacPayless Pharmacy, Propac Payless Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHARMERICA HOLDINGS, INC.
Authorized official
STEPHEN A LARIVIERE (CHIEF COMPLIANCE OFFICER)
(502) 627-7404
Entity
Organization
Contact information
Practice address
111 SE EVERETT MALL WAY, STE A100, EVERETT, WA 98208-3208
(503) 626-9436
(800) 982-2730
Mailing address
PO BOX 409244, ATLANTA, GA 30384-9244
(813) 378-6274
(813) 318-6346
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHAR.CF60408436
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2108264
PK
—
05
—
6024269
—
WA
Enumeration date
12/05/2005
Last updated
05/24/2019
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