Organization
PHARMERICA LONG-TERM CARE 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
2720 BROADBENT PKWY NE STE A, ALBUQUERQUE, NM 87107
(505) 343-1113
(505) 343-9769
Mailing address
3802 CORPOREX PARK DR, STE 150, TAMPA, FL 33619-1125
(813) 318-6039
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH00002000
NM
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH00002982
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00062106
—
NM
05
—
100045854
—
WI
05
—
542622
—
AZ
01
—
CS00213189
CONTROLLED SUBSTANCE
NM
01
—
PH000002982
BOARD OF PHARMACY
NM
01
—
PH00002982
BOARD OF PHARMACY
NM
Enumeration date
07/08/2006
Last updated
02/13/2024
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