Organization
PHARMACY CORPORATION OF AMERICA
Active
Parent organization
PHARMERICA CORPORATION
Other names
PHARMERICA KANEOHE
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
45-710 KEAAHALA RD, KANEOHE, HI 96744-3528
(808) 236-8350
(808) 247-2037
Mailing address
3802 CORPOREX PARK DR, STE 200, TAMPA, FL 33619-1125
(502) 627-7000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY577
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07394101
—
HI
01
—
1203479
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/08/2006
Last updated
02/13/2024
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