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Organization

PHARMACY CORPORATION OF AMERICA

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
5255 E RIVER RD, SUITE 204, FRIDLEY, MN 55421-1026
(763) 571-2220
(763) 571-3311
Mailing address
3802 CORPOREX PARK DR STE 150, TAMPA, FL 33619-1135
(813) 318-6039

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336L0003X
Long Term Care Pharmacy
Primary
2615480
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1285667865
WI
05
200526100A
IN
01
2406785
OTHER ID NUMBER-COMMERCIAL NUMBER
05
2406785
IA
05
2406785
MI
05
33037000
WI
05
661057900
MN
05
7M1548
SC
05
8532032
SD
05
9151500
SD
05
939108
IA
Enumeration date
07/08/2006
Last updated
02/13/2024
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