Organization
PHARMACY CORPORATION OF AMERICA
Active
Parent organization
PHARMERICA CORPORATION
Other names
Phar Merica
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
1100 WILSON WAY, STE 500, SMYRNA, GA 30082
(770) 432-1621
(800) 722-3599
Mailing address
3802 CORPOREX PARK DR, STE 200, TAMPA, FL 33619-1125
(813) 318-6039
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
—
000255516B
—
GA
05
—
00040355
—
MS
05
—
009149368
—
VA
05
—
009610640
—
AL
05
—
033685800
—
DC
05
—
0392427
—
OH
05
—
100080240D
—
KS
05
—
1007739010019
—
PA
05
—
106298101
—
FL
05
—
150921801
—
TX
05
—
1558559
—
LA
05
—
1801802210
—
CT
05
—
200035360C
—
OK
05
—
200264800A
—
IN
05
—
30009810
—
NH
05
—
33037000
—
WI
05
—
3541753
—
TN
05
—
377417000
—
MN
05
—
4914077
—
MI
05
—
55365
—
ND
05
—
622449114
—
MO
05
—
661057900
—
MN
05
—
7701221
—
NC
05
—
8082344
—
ID
05
—
9000795600
—
KY
05
—
9151500
—
SD
05
—
PC72436
—
RI
Enumeration date
07/31/2006
Last updated
01/24/2013
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