Organization
PMC OHIO, LLC
Active
Other names
Pharmerica
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS A CANERIS (VICE PRESIDENT & SECRETARY)
(502) 627-7000
Entity
Organization
Contact information
Practice address
24165 DETROIT ROAD, WESTLAKE, OH 44145
(440) 617-7646
(440) 617-1815
Mailing address
3802 CORPOREX PARK DR STE 150, TAMPA, FL 33619-1135
(813) 318-6039
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0895536
—
OH
05
—
1007739010023
—
PA
05
—
1275566853
—
MI
Enumeration date
05/27/2005
Last updated
08/16/2018
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