Organization
PHARMERICA MOUNTAIN LLC
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
3700 E COLUMBIA ST, SUITE 100, TUCSON, AZ 85714
(800) 252-6721
(800) 282-6729
Mailing address
3802 CORPOREX PARK DR STE 150, TAMPA, FL 33619-1135
(813) 318-6039
(800) 825-6408
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
4203
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300012682
—
IN
05
—
920208
—
AZ
01
—
Y007461
BOARD OF PHARMACY
AZ
Enumeration date
08/13/2006
Last updated
02/14/2024
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