Organization
PHARMERICA DRUG SYSTEMS INC
Active
Other names
PHARMERICA
Organization subpart
No
Provider details
NPI number
Authorized official
PEBBLES PANGRAZIO (CONTRACT ADMINISTRATOR)
(877) 975-2273
Entity
Organization
Contact information
Practice address
198 US HIGHWAY 23 N, SUITE B, WEBER CITY, VA 24290-6112
(276) 386-3700
(276) 386-6466
Mailing address
PO BOX 409244, ATLANTA, GA 30384-9244
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4833845
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/08/2006
Last updated
08/22/2020
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