Organization
PHARMACY CORPORATION OF AMERICA
Active
Parent organization
PHARMERICA CORPORATE
Other names
Premier Long Term Care Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHARMERICA CORPORATE
Authorized official
THOMAS CANERIS (VICE PRESIDENT)
(502) 627-7100
Entity
Organization
Contact information
Practice address
1618 S LANE ST STE 204, SEATTLE, WA 98144
(206) 323-0868
(206) 323-9206
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
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4932326
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6029987
—
WA
Enumeration date
04/25/2007
Last updated
08/16/2018
About Stedi
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