Organization
PHARMACY CORPORATION OF AMERICA
Active
Other names
RX ADVANTAGE
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS A CANERIS (VICE PREISDENT)
(502) 627-7100
Entity
Organization
Contact information
Practice address
7101 US HIGHWAY 90, STE 300, DAPHNE, AL 36526-9512
(877) 770-7923
(866) 478-7909
Mailing address
3802 CORPOREX PARK DR, STE 200, TAMPA, FL 33619-1125
(813) 318-6039
(800) 825-6408
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
112833
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021966500
—
FL
05
—
100003728
—
AL
01
—
1995938
PK
—
Enumeration date
08/10/2006
Last updated
07/31/2014
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