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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
3690 NW 53RD ST, SUITE 104, FT LAUDERDALE, FL 33309-2452
(954) 978-6997
(954) 978-6423
Mailing address
3802 CORPOREX PARK DR, STE 150, TAMPA, FL 33619-1125
(813) 318-6039

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336L0003X
Long Term Care Pharmacy
Primary
PH15710
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106307300
FL
01
1072420
OTHER ID NUMBER-COMMERCIAL NUMBER
05
1295768869
IL
05
1295768869
MI
05
158648
AZ
05
7100529490
KY
Enumeration date
07/08/2006
Last updated
02/13/2024
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