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
MR. THOMAS A CANERIS (VICE PRESIDENT)
(502) 627-7100
Entity
Organization
Contact information
Practice address
11205 KNOTT AVE, SUITE E, CYPRESS, CA 90630-5489
(714) 890-8469
(800) 478-4526
Mailing address
1100 WILSON WAY SE, SUITE 500, SMYRNA, GA 30082-7248
(800) 678-7221
(800) 722-3599
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302597
—
AZ
05
—
9059197
—
WA
Enumeration date
07/14/2006
Last updated
01/11/2013
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