Organization
PHARMERICA DRUG SYSTEMS INC
Active
Other names
COLONIAL DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
PEBBLES PANGRAZIO (CONTRACT ADMINISTRATOR)
(877) 975-2273
Entity
Organization
Contact information
Practice address
111 E MERCED ST, FOWLER, CA 93625-2312
(559) 834-1606
(559) 834-5841
Mailing address
PO BOX 409244, ATLANTA, GA 30384-9244
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY460550
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0525153
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA460550
—
CA
Enumeration date
07/08/2006
Last updated
09/11/2025
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