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
625 CENTRAL AVE W, SUITE 105, GREAT FALLS, MT 59404-2874
(800) 757-3713
(800) 295-1662
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
1065
MT
3336L0003X
Long Term Care Pharmacy
1065
MT
3336L0003X
Long Term Care Pharmacy
Primary
1229
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811920499
—
MT
01
—
PHA-PHR-LIC-58716
BOARD OF PHARMACY
MT
Enumeration date
07/08/2006
Last updated
02/13/2024
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