Organization
PHARMERICA DRUG SYSTEMS LLC
Active
Parent organization
PHARMERICA CORPORATION
Other names
PHARMERICA
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHARMERICA CORPORATION
Authorized official
STEVEN S. REED (VICE PRESIDENT)
(502) 394-2100
Entity
Organization
Contact information
Practice address
873 RICARDO CT, SAN LUIS OBISPO, CA 93401-7174
(805) 543-5981
(805) 546-1979
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 627-7000
(502) 627-7401
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY48712
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0589513
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
LSC99597
STERILE COMPOUNDING LICENSE
CA
05
—
PHA460590
—
CA
01
—
PHY48712
PHARMACY LICENSE
CA
Enumeration date
07/08/2006
Last updated
11/02/2020
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