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Organization

PHARMACY CORPORATION OF AMERICA

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
8 FAIRFIELD BLVD STE 103, WALLINGFORD, CT 06492-1890
(860) 829-6575
(860) 829-4110
Mailing address
3802 CORPOREX PARK DR STE 150, TAMPA, FL 33619-1135
(813) 318-6039

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336L0003X
Long Term Care Pharmacy
Primary
PCY1654
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004126274
CT
05
004128600
CT
05
01552643
NY
01
0716211
OTHER ID NUMBER-COMMERCIAL NUMBER
05
1015089
VT
05
1016250
VT
05
110021711J
MA
05
1841223419
CT
05
6160030
RI
Enumeration date
07/08/2006
Last updated
02/13/2024
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