Organization
PHARMACY CORPORATION OF AMERICA
Active
Other names
Ascribe
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS A CANERIS (VICE PRESIDENT)
(502) 627-7100
Entity
Organization
Contact information
Practice address
21241 N. 23RD AVE., PHOENIX, AZ 85027
(855) 482-1441
(855) 583-3477
Mailing address
P.O. BOX 409244, ATLANTA, GA 30384-9244
(813) 378-6274
(817) 756-1101
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Y005978
AZ
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
Y005808
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128904
PK
—
Enumeration date
02/18/2011
Last updated
08/04/2014
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