Organization
PHARMACY CORPORATION OF AMERICA
Active
Parent organization
PHARMERICA HOLDINGS, INC.
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
18110 SE 34TH ST BLDG 2, VANCOUVER, WA 98683-9440
(800) 330-3665
(800) 982-2730
Mailing address
18110 SE 34TH ST STE 290, VANCOUVER, WA 98683-9440
(800) 330-3665
(800) 982-2730
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
PHAR.CF.6067076
WA
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163906
PK
—
Enumeration date
09/01/2016
Last updated
05/24/2019
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